Active NPI
Professional Consulting & Counseling Services
- Clinical Social Worker
- Delco, NC
National Provider Identifier
1154896504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PROFESSIONAL CONSULTING & COUNSELING SERVICES
- Practice address
- 27056 Andrew Jackson Hwy E
Delco, NC 28436-8200 - Phone
- (910) 297-4230
- Fax
- (910) 655-0611
- NPI assigned
- Oct 11, 2018
- 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
- Mrs. Devoria K Berry, MSW, LCSW, LCASA
- Title
- Ceo
- Phone
- (910) 297-4230
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
27056 Andrew Jackson Hwy E
Delco, NC 28436-8200
Mailing address
PO Box 31
Riegelwood, NC 28456-0031
Phone (910) 297-4230
Other practice location 1
1124 Old 87 Hwy
Riegelwood, NC 28456
Phone (910) 297-4230
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12771 | Other | SC | LISW CP |
| 21951 | Other | NC | LICENSED CLINICAL ADDICTION SPECIALIST, ASSOCIATE |
| 28389 | Other | NC | CLINICALLY CERTIFIED SEX OFFENDER TREATMENT SPECIALIST |
| C01149 | Other | NC | LCSW |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1154896504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "RIEGELWOOD",
"state": "NC",
"postal_code": "284560031",
"telephone_number": "910-297-4230",
"fax_number": "910-655-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27056 ANDREW JACKSON HWY E",
"city": "DELCO",
"state": "NC",
"postal_code": "284368200",
"telephone_number": "910-297-4230",
"fax_number": "910-655-0611"
}
],
"practiceLocations": [
{
"address_1": "1124 Old 87 Hwy",
"address_purpose": "LOCATION",
"city": "Riegelwood",
"state": "NC",
"postal_code": "28456",
"country_code": "US",
"telephone_number": "910-297-4230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROFESSIONAL CONSULTING & COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-11",
"last_updated": "2025-01-16",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "DEVORIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-297-4230",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LCSW, LCASA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW CP",
"identifier": "12771",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL ADDICTION SPECIALIST, ASSOCIATE",
"identifier": "21951",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICALLY CERTIFIED SEX OFFENDER TREATMENT SPECIALIST",
"identifier": "28389",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "C01149",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delco, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.