Active NPI
Kardia Counseling & Consulting PLL
- Professional Counselor
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7538
- Legal business name
- KARDIA COUNSELING & CONSULTING PLL
- Practice address
- 325 Page Rd BLDG 3
Pinehurst, NC 28370 - Phone
- (910) 295-0500
- Fax
- (910) 295-0503
- NPI assigned
- Oct 18, 2016
- 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
- Shelwilbed Wray
- Title
- Director/Owner
- Phone
- (910) 295-0500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7538 | NC | Primary |
Addresses
Primary practice location
325 Page Rd BLDG 3
Pinehurst, NC 28370
Mailing address
325 Page Rd BLDG 3
Pinehurst, NC 28374
Phone (910) 295-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Kardia Counseling and Counsulting
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Pinehurst, NC
- NPI 1912350570
Locations
780 NW Broad St
Ste 210
Southern Pines, NC 28387
Phone (910) 725-2074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Southern Pines, NC
- NPI 1174621528
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482192000000",
"number": "1124579867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PAGE RD BLDG 3",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-295-0500",
"fax_number": "910-295-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PAGE RD BLDG 3",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28370",
"telephone_number": "910-295-0500",
"fax_number": "910-295-0503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARDIA COUNSELING & CONSULTING PLL",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-18",
"last_updated": "2016-12-20",
"status": "A",
"authorized_official_last_name": "WRAY",
"authorized_official_first_name": "SHELWILBED",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "910-295-0500"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.