Active NPI
Broken Crayon Counseling and Therapeutic Services, PLLC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1013781749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BROKEN CRAYON COUNSELING AND THERAPEUTIC SERVICES, PLLC
- Practice address
- 4925 Alenja LN
Raleigh, NC 27616-5025 - Phone
- (336) 285-1404
- NPI assigned
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sylvia Singleton
- Title
- Lcmhc
- Phone
- (336) 285-1404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4925 Alenja LN
Raleigh, NC 27616-5025
Mailing address
4925 Alenja LN
Raleigh, NC 27616-5025
Phone (336) 285-1404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Durham, NC
- NPI 1497094916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1013781749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 ALENJA LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276165025",
"telephone_number": "336-285-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 ALENJA LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276165025",
"telephone_number": "336-285-1404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROKEN CRAYON COUNSELING AND THERAPEUTIC SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "SYLVIA",
"authorized_official_title_or_position": "LCMHC",
"authorized_official_telephone_number": "336-285-1404",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.