EDMUND TAYLOE BUCKMAN IV (NPI# 1306305578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306305578 |
| Entity Type | Individual |
| Full Name | EDMUND TAYLOE BUCKMAN IV |
| Credential | LCASA, LPCA |
| Practice Address |
614 Capital Blvd Apt 213 Raleigh NC 27603-1157 |
| Practice Telephone | 2529431536 |
| Mailing Telephone | 2529431536 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 25328 | NC | Behavioral Health & Social Service Providers |
| Street Address |
614 CAPITAL BLVD APT 213 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1568098903 | Mona Nour | Counselor | 11428 Royal Amber Way, Raleigh, NC 27614-9896 | 2020-03-17 |
| 1487127403 | Professional Counseling Associates of Cary | Counselor | 2207 Overflow Cir, Raleigh, NC 27610-5359 | 2019-01-03 |
| 1154896611 | Brittany Crystal Smith | Counselor | 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 | 2018-10-10 |
| 1942784079 | Maria Mccrimmon | Counselor | 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 | 2018-09-25 |
| 1093220618 | Roxanne Rosenberg | Counselor | 4508 Olde Stream Ct, Raleigh, NC 27612-3641 | 2017-12-05 |
| 1396260089 | Christina Jones Parker | Counselor | 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 | 2017-08-03 |
| 1023532405 | Tykeena Lee Johnson | Counselor | 4210 Evans Dr, Raleigh, NC 27610-6757 | 2017-07-27 |
| 1144750563 | Esupport, Pllc | Counselor | 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 | 2017-06-18 |
| 1003365172 | Victoria Baxter | Counselor | 39 Red Ln, Raleigh, NC 27606-1672 | 2016-09-29 |
| Find all providers in RALEIGH | ||||
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| 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.