Organization Active NPI

Wholeheartedly Daring, PLLC

  • Adult Mental Health Clinic/Center
  • Cary, NC
National Provider Identifier
1104656420
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WHOLEHEARTEDLY DARING, PLLC
Practice address
800 Pinner Weald Way Ste 101
Cary, NC 27513-2607
Phone
(919) 656-8722
NPI assigned
Aug 2, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Heidi Stern Bunce, LCSW
Title
Owner
Phone
(919) 656-8722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

800 Pinner Weald Way Ste 101
Cary, NC 27513-2607

Mailing address

800 Pinner Weald Way Ste 101
Cary, NC 27513-2607
Phone (919) 656-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121000110 NC Part B Supplier - Clinic/Group Practice 7315472834 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1104656420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PINNER WEALD WAY STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132607",
            "telephone_number": "919-656-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PINNER WEALD WAY STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132607",
            "telephone_number": "919-656-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEARTEDLY DARING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "BUNCE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "STERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-656-8722",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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 Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.