NPIMap

Organization Active NPI

Wake Forest Counseling Services, Inc.

  • Professional Counselor
  • Wake Forest, NC
National Provider Identifier
1013025873
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5201 Issued in NC
Legal business name
WAKE FOREST COUNSELING SERVICES, INC.
Practice address
839C Wake Forest Business Park Ste E
Wake Forest, NC 27587-7181
Phone
(919) 570-3004
Fax
(919) 570-9225
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Ms. Shirill Hicks, LPC
Title
President
Phone
(919) 570-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5201 NC Primary

Addresses

Primary practice location

839C Wake Forest Business Park Ste E
Wake Forest, NC 27587-7181

Mailing address

PO Box 98491
Raleigh, NC 27624-8491
Phone (919) 570-3004

Other names 1

  • Wake Forest Counseling Services, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

839C Wake Forest Business Park
Ste E
Wake Forest, NC 27587
Phone (919) 570-3004

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1013025873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98491",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248491",
            "telephone_number": "919-570-3004",
            "fax_number": "919-570-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839C WAKE FOREST BUSINESS PARK STE E",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877181",
            "telephone_number": "919-570-3004",
            "fax_number": "919-570-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SHIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-570-3004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Forest Counseling Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.