Organization Active NPI

Visions Counseling Studio

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1124274626
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6486 Issued in NC
Legal business name
VISIONS COUNSELING STUDIO
Practice address
401 E Lakewood Ave
Ste. E
Durham, NC 27707-1700
Phone
(919) 286-2146
Fax
(919) 286-7987
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Mrs. Keisha K McGill, M.A., LPCS, LCAS,NCC
Title
Director
Phone
(919) 286-2146

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1003 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6486 NC Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 9300364 NC
Community/Behavioral Health Agency 251S00000X 6486 NC

Addresses

Primary practice location

401 E Lakewood Ave
Ste. E
Durham, NC 27707-1700

Mailing address

401 E Lakewood Ave
Ste. E
Durham, NC 27707-1700
Phone (919) 286-2146

Other identifiers 2

IdentifierTypeStateIssuer
6006493MedicaidNC
5911849MedicaidNC

Other names 1

  • VCS Other name

National Provider Directory

National Provider Directory

Locations

1530 N Gregson St
Fl 2
Durham, NC 27701

401 E Lakewood Ave
Ste E
Durham, NC 27707
Phone (919) 286-2146

401 E Lakewood Ave
Durham, NC 27707
Phone (919) 908-6371

Practitioners & affiliated clinicians

Practitioners 2

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": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1124274626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LAKEWOOD AVE",
            "address_2": "STE. E",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071700",
            "telephone_number": "919-286-2146",
            "fax_number": "919-286-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E LAKEWOOD AVE",
            "address_2": "STE. E",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071700",
            "telephone_number": "919-286-2146",
            "fax_number": "919-286-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS COUNSELING STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-286-2146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LPCS, LCAS,NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1003",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6486",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9300364",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006493",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911849",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.