Provider Demographics
NPI:1942826987
Name:JPN CONSULTANTS
Entity Type:Organization
Organization Name:JPN CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:PHYLLIS
Authorized Official - Last Name:NYIRENDA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:919-830-3435
Mailing Address - Street 1:43 DUCHESS AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-8447
Mailing Address - Country:US
Mailing Address - Phone:919-830-3435
Mailing Address - Fax:855-298-5449
Practice Address - Street 1:43 DUCHESS AVE
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-8447
Practice Address - Country:US
Practice Address - Phone:919-830-3435
Practice Address - Fax:855-298-5449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC101YP2500XOtherTAXONOMY NUMBER
NC1588907414Medicaid