NPIMap

Organization Active NPI

Wendy L Davis

  • Professional Counselor
  • Asheboro, NC
National Provider Identifier
1083643969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3057 Issued in NC
Legal business name
WENDY L DAVIS
Doing business as
Carolina Counseling Associates
Practice address
1205 N Fayetteville St
Suite 102
Asheboro, NC 27203-4537
Phone
(336) 629-4471
Fax
(336) 629-5805
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy L Davis, MS, LPCNPI 1598818452
Title
Proprietor
Phone
(336) 629-4471

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3057 NC Primary

Addresses

Primary practice location

1205 N Fayetteville St
Suite 102
Asheboro, NC 27203-4537

Mailing address

1205 N Fayetteville St
Suite 102
Asheboro, NC 27203-4537
Phone (336) 629-4471

Other identifiers 3

IdentifierTypeStateIssuer
6005245MedicaidNC
014M2OtherNCBLUE CROSS BLUE SHIELD
A1291OtherNCMEDCOST

Other names 1

  • Carolina Counseling Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Counseling Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1205 N Fayetteville St
Ste 102
Asheboro, NC 27203
Phone (336) 629-4471

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083643969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N FAYETTEVILLE ST",
            "address_2": "SUITE 102",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034537",
            "telephone_number": "336-629-4471",
            "fax_number": "336-629-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N FAYETTEVILLE ST",
            "address_2": "SUITE 102",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034537",
            "telephone_number": "336-629-4471",
            "fax_number": "336-629-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY L DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "336-629-4471",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005245",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "014M2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A1291",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.