COUNSELING ASSOCIATES OF THE TRIAD, PLLC (NPI# 1285087270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285087270 |
| Entity Type | Organization |
| Organization Name | COUNSELING ASSOCIATES OF THE TRIAD, PLLC |
| Practice Address |
7 Red Fern Ct Greensboro NC 27455-2714 |
| Mailing Address |
301 S Elm St Suite 505 Greensboro NC 27401-2696 |
| Practice Telephone | 3362071955 |
| Practice Fax Number | 3362454626 |
| Mailing Telephone | 3363558308 |
| Mailing Fax Number | 3362454626 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | JENNIFER KISZELY-BRESSLER (OWNER/THERAPIST) |
| Authorized Official Telephone | 3362071955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
8318 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6104650 | 05 |
| Street Address |
7 RED FERN CT |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719842 | Ann Michele Gregory | Counselor | 2625 Camden Rd, Greensboro, NC 27403-1436 | 2020-01-15 |
| 1861032567 | Shaniece G Hopkins | Counselor | 5316 Fox Cove Ln Apt B, Greensboro, NC 27407-5969 | 2020-01-10 |
| 1790320190 | Zobaida Laota | Counselor | 3214 Brassfield Rd Apt 6202, Greensboro, NC 27410-9454 | 2019-11-10 |
| 1336798446 | Alishia Mccullough | Counselor | 1175 Revolution Mill Dr, Greensboro, NC 27405-5079 | 2019-09-11 |
| 1184279002 | Dazzmen Davis | Counselor | 418 Eugene Ct, Greensboro, NC 27401-2714 | 2019-08-07 |
| 1376104323 | Dominiquie Clemmons-james | Counselor | 2615 Vanstory St, Greensboro, NC 27407-4731 | 2019-06-20 |
| 1730640996 | Senetria Renea Shay | Counselor | 3901 Battleground Ave Apt 103, Greensboro, NC 27410-9461 | 2019-03-28 |
| 1053885491 | Vanessa York | Counselor | 1451 S Elm Eugene St Ste 3219, Greensboro, NC 27406-2200 | 2019-01-18 |
| 1417427915 | Schenika La Donna Silver | Counselor | 2216 W Meadowview Rd Ste 207, Greensboro, NC 27407-3401 | 2018-11-28 |
| 1215411566 | Whitney Saraya Conaway | Counselor | 3409 W Wendover Ave Ste 1, Greensboro, NC 27407-1580 | 2018-09-23 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on COUNSELING ASSOCIATES OF THE TRIAD, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.