MEDICARE: GILFORT, ATKINSON & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3516	NC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	161	NC
3	1041C0700X	Clinical Social Worker	C004446	NC
4	103TC0700X	Clinical Psychologist	2668	NC
5	103TC0700X	Clinical Psychologist	3311	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016VA	OTHER	NC	NC HEALTH CHOICE
2	016VA	OTHER	NC	GROUP BLUE CROSS BLUE SHI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407857816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILFORT, ATKINSON & ASSOCIATES

Provider Business Mailing Address
First Line	:	1530 N GREGSON ST
Second Line	:	SUITE 3A
City	:	DURHAM
State	:	NC
Zip	:	27701-1155
Country	:	US
Telephone Number	:	919-416-1830
Fax Number	:	919-416-8883

Provider Business Practice Location Address
First Line	:	1530 N GREGSON ST
Second Line	:	SUITE 3A
City	:	DURHAM
State	:	NC
Zip	:	27701-1155
Country	:	US
Telephone Number	:	919-416-1830
Fax Number	:	919-416-8883

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. APRIL J. GILFORT
Credential	:	PH.D
Telephone Number	:	919-416-1830

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/11/2025

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