JORGE CARABALLO II (NPI# 1851877294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851877294 |
| Entity Type | Individual |
| Full Name | JORGE CARABALLO II |
| Credential | LPCA |
| Practice Address |
3209 Yorktown Ave Durham NC 27713-3454 |
| Mailing Address |
2625 Danzante Pl Fayetteville NC 28306-9365 |
| Practice Telephone | 9198967536 |
| Mailing Telephone | 9102297248 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A14060 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750753133 | Jorge Caraballo | Home Health | 5672 Harbormist Dr, Powder Springs, GA 30127-6963 | 2015-10-26 |
| Street Address |
3209 YORKTOWN AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479153 | Amanda Faye Hobgood | Social Worker | 3209 Yorktown Ave, Durham, NC 27713-3454 | 2017-11-03 |
| 1548774292 | Andrew Ryan Burnette | Counselor | 3209 Yorktown Ave, Durham, NC 27713-3454 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1376160218 | Compass Family Therapy, Pllc | Counselor | 3326 Guess Rd Ste 207, Durham, NC 27705-2160 | 2020-06-26 |
| 1144857665 | Jennifer Saucier Simmons | Counselor | 212 Maiden Ln, Durham, CT 06422-2017 | 2020-03-25 |
| 1902457328 | Natalie Haskins Parmenter | Counselor | 5825 Sandstone Dr, Durham, NC 27713-1925 | 2019-09-26 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1205314390 | Ashley Danielle Gilmore | Counselor | 48 Intuition Cir, Durham, NC 27705-2881 | 2018-08-01 |
| 1477060606 | Benjamin Christian Willcott | Counselor | 2612 N Roxboro St, Durham, NC 27704-4350 | 2018-01-09 |
| 1851842694 | Bull City Psychotherapy, Pllc | Counselor | 1816 Front St Ste 250, Durham, NC 27705-2598 | 2016-10-17 |
| 1730632506 | Selena Waite | Counselor | 2309 Nebo St, Durham, NC 27707-4231 | 2016-07-28 |
| Find all providers in DURHAM | ||||
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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.