Active NPI
Willard H Meeks Jr., LCMHC
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1144208927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4358
- Practice address
- 203 Hervey LN
Wilmington, NC 28411-9655 - Phone
- (910) 470-1790
- NPI assigned
- Jan 3, 2006
- Last updated
- Feb 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4358 | NC | |
| Mental Health Counselor | 101YM0800X | 4358 | NC | |
| Professional Counselor | 101YP2500X | 4358 | NC | Primary |
Addresses
Primary practice location
203 Hervey LN
Wilmington, NC 28411-9655
Mailing address
203 Hervey LN
Wilmington, NC 28411-9655
Phone (910) 470-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102231 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4358 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Rose Consulting Group, Inc | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1144208927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HERVEY LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119655",
"telephone_number": "910-470-1790",
"fax_number": "910-777-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HERVEY LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119655",
"telephone_number": "910-470-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "WILLARD",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "4358",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4358",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102231",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.