Innovative Therapy and Consulting, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004553 Issued in NC

Legal business name

INNOVATIVE THERAPY AND CONSULTING, INC

Practice address

833 Wake Forest Business Park
Suite G
Wake Forest, NC 27587-7184

Phone

(919) 554-1231

Fax

(919) 554-2406

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Driver, MSW, LPC

Title

Incorporator

Phone

(919) 554-1231

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Angela Joy Harper

  • Counselor
  • Wake Forest, NC
  • NPI 1184919896
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083812481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE G",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-554-1231",
            "fax_number": "919-554-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE G",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-554-1231",
            "fax_number": "919-554-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY AND CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "919-554-1231",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5457",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.