Active NPI
Nehemiah Christian Counseling, P.L.L.C.
- Professional Counselor
- Elizabeth City, NC
National Provider Identifier
1154840759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- NEHEMIAH CHRISTIAN COUNSELING, P.L.L.C.
- Practice address
- 303 E Main St Ste 9
Elizabeth City, NC 27909-4452 - Phone
- (252) 619-6629
- Fax
- (252) 331-2499
- NPI assigned
- Sep 14, 2017
- Last updated
- Jul 21, 2022
- 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
- Mary Etheridge Wallace, LPC
- Title
- President/Founder
- Phone
- (252) 619-6629
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 | NU | Primary |
Addresses
Primary practice location
303 E Main St Ste 9
Elizabeth City, NC 27909-4452
Mailing address
303 E Main St Ste 9
Elizabeth City, NC 27909-4452
Phone (252) 619-6629
National Provider Directory
National Provider DirectoryLocations
303 E Main St
Ste 9
Elizabeth City, NC 27909
Phone (252) 619-6629
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Elizabeth City, NC
- NPI 1801136809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1154840759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E MAIN ST STE 9",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094452",
"telephone_number": "252-619-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E MAIN ST STE 9",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094452",
"telephone_number": "252-619-6629",
"fax_number": "252-331-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEHEMIAH CHRISTIAN COUNSELING, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ETHERIDGE",
"authorized_official_title_or_position": "PRESIDENT/FOUNDER",
"authorized_official_telephone_number": "252-619-6629",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.