Organization Active NPI

Tall Tree Counseling, Consulting and Training, PLLC

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1154724532
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO8827 Issued in NC
Legal business name
TALL TREE COUNSELING, CONSULTING AND TRAINING, PLLC
Practice address
925 S Kerr Ave Ste F5
Wilmington, NC 28403-4335
Phone
(910) 805-3160
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Anna Elizabeth Respess, LCSW, LCAS, CCS
Title
Director/Therapist
Phone
(910) 805-3160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 3099-A NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X COO8827 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X COO2077 NC

Addresses

Primary practice location

925 S Kerr Ave Ste F5
Wilmington, NC 28403-4335

Mailing address

PO Box 7626
Wilmington, NC 28406-7626
Phone (910) 805-3160

Other practice location 1

3807 Wrightsville Ave
Suite 21
Wilmington, NC 28403-8441
Phone (910) 805-3160

Other practice location 2

4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Phone (910) 685-0007

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL talltreecounseling@gmail.com Direct
CONNECT URL talltreecounseling@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

5041 New Centre Dr
Ste 115
Wilmington, NC 28403
Phone (910) 805-3160

925 S Kerr Ave
Ste F5
Wilmington, NC 28403
Phone (910) 685-0007

1522 Harbour Dr
Wilmington, NC 28401
Phone (910) 431-9455

Practitioners & affiliated clinicians

Practitioners 1

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1154724532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7626",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284067626",
            "telephone_number": "910-805-3160",
            "fax_number": "910-401-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE STE F5",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034335",
            "telephone_number": "910-805-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 Wrightsville Ave",
            "address_2": "Suite 21",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284038441",
            "country_code": "US",
            "telephone_number": "910-805-3160",
            "fax_number": "910-401-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 Cedar Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034423",
            "country_code": "US",
            "telephone_number": "910-685-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TALL TREE COUNSELING, CONSULTING AND TRAINING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "RESPESS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "910-805-3160",
        "authorized_official_credential": "LCSW, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3099-A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO8827",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO2077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "talltreecounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "925 S Kerr Ave Ste F5",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284034335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "talltreecounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any/PDF preferred",
            "address_1": "925 S Kerr Ave Ste F5",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284034335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 12, 2021; 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.