Active NPI
Sea Glass Counseling PLLC
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1083525414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SEA GLASS COUNSELING PLLC
- Practice address
- 2018 Eastwood Rd Ste 307
Wilmington, NC 28403-7228 - Phone
- (910) 408-5490
- NPI assigned
- Sep 15, 2026
- 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
- Jennifer Keever Peterken, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (910) 620-8276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2018 Eastwood Rd Ste 307
Wilmington, NC 28403-7228
Mailing address
7019 Cayman CT
Wilmington, NC 28405-8371
Phone (910) 620-8276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1083525414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7019 CAYMAN CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058371",
"telephone_number": "910-620-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 EASTWOOD RD STE 307",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037228",
"telephone_number": "910-408-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA GLASS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "PETERKEN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "KEEVER",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "910-620-8276",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Kailee Alexis Scurpa, PHARMD
- SE Wellness & Behavioral Health, PLLC
- Sea Bright, Inc (Comfort Keepers)
- Sea Coast Physical Therapy, Inc
- Sea Glass Counseling Collaborative LLC
- Seacoast Skin Surgery PLLC
- Seacore Management, LLC
- Seaglass Wellness LLC
- Seagrass Integrated Mental Health, PLLC
- Seashore Discount Drugs, Inc (Seashore Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.