North Carolina Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C009812 Issued in NC

Legal business name

NORTH CAROLINA WELLNESS

Practice address

321A Court Square
Sanford, NC 27330

Phone

(919) 356-3625

NPI assigned

Mar 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawn Robert Jones, MSW, LCSW

Title

License Clinical Social Worker

Phone

(919) 356-3625

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1003277252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321A COURT SQUARE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-356-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321A COURT SQUARE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-356-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-356-3625",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C009812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC
• North Carolina Group Services, PLLC
• North Carolina Group Services, PLLC
• North Carolina Medicine
• North Carolina Physicians Eyecare Group, P.C.
• Gerard J O'Donnell, MD
• Alexandra Olauson
• Old Town M.D.
• Francesco Robert Olivito, D.O.
• Janna Victoria Orr, LCMHCA

• Community/Behavioral Health Agency in Sanford, NC
• Providers in Sanford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.