Wesley Shelter, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2683 Issued in NC

Legal business name

WESLEY SHELTER, INC

Practice address

106 Vance St E
Wilson, NC 27893-4034

Phone

(252) 291-2344

Fax

(252) 291-1436

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kim Gauss

Title

Executive Director

Phone

(252) 291-2344

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wesley Shelter Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wesley Shelter, Inc.

  • Marriage & Family Therapist
  • Wilson, NC
  • NPI 1558531517
  NPD tax ID

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144294190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EAST VANCE STREET",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27894",
            "telephone_number": "252-291-2344",
            "fax_number": "252-291-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VANCE ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934034",
            "telephone_number": "252-291-2344",
            "fax_number": "252-291-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY SHELTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUSS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-291-2344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kassandra Webster, LPC
• Well Played, LLC
• Larry Wellman
• Cikiethia Wells, MT
• Lisa Marie Weppler, CNM
• Wesley Shelter, Inc.
• Melissa King Wester, M.D.
• Trent Wesley Wester, MD
• Kerri Ann Wheeler, M.ED., CCC-SLP
• Robert Alan Wheeler, LCSW

• Professional Counselor in Wilson, NC
• Providers in Wilson, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.