Organization Active NPI

Professional Consulting & Counseling Services

  • Clinical Social Worker
  • Delco, NC
National Provider Identifier
1154896504
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 16, 2025

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
12771OtherSCLISW CP
21951OtherNCLICENSED CLINICAL ADDICTION SPECIALIST, ASSOCIATE
28389OtherNCCLINICALLY CERTIFIED SEX OFFENDER TREATMENT SPECIALIST
C01149OtherNCLCSW

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.