Active NPI
Well-Life Counseling & Spiritual Center
- Clinical Social Worker
- Rocky Mount, NC
National Provider Identifier
1083166227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009720
- Legal business name
- WELL-LIFE COUNSELING & SPIRITUAL CENTER
- Practice address
- 301 S Church St Ste 254
Rocky Mount, NC 27804-5749 - Phone
- (252) 557-3901
- NPI assigned
- Nov 3, 2016
- 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
- Shameca D Ricks, LCSW
- Title
- Owner
- Phone
- (252) 557-3901
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009720 | NC | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
301 S Church St Ste 254
Rocky Mount, NC 27804-5749
Mailing address
301 S Church St Ste 254
Rocky Mount, NC 27804-5749
Phone (252) 557-3901
National Provider Directory
National Provider DirectoryLocations
301 S Church St
Ste 254
Rocky Mount, NC 27804
Phone (252) 557-3901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rocky Mount, NC
- NPI 1205278298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478131200000",
"number": "1083166227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S CHURCH ST STE 254",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045749",
"telephone_number": "252-557-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S CHURCH ST STE 254",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045749",
"telephone_number": "252-557-3901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL-LIFE COUNSELING & SPIRITUAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "SHAMECA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-557-3901",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009720",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.