NPIMap

Organization Active NPI

Wake Counseling Associates, PLLC

  • Professional Counselor
  • Knightdale, NC
National Provider Identifier
1164664074
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6803 Issued in NC
Legal business name
WAKE COUNSELING ASSOCIATES, PLLC
Practice address
1008 Big Oak CT
Knightdale, NC 27545-8841
Phone
(919) 200-6091
Fax
(919) 341-4982
NPI assigned
Mar 24, 2009
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Ms. Bonnie Ann Fitts, MA, LPCNPI 1639352578
Title
Ceo
Phone
(919) 200-6091

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6803 NC Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1008 Big Oak CT
Knightdale, NC 27545-8841

Mailing address

PO Box 1215
Knightdale, NC 27545-1215

National Provider Directory

National Provider Directory
Tax ID family
Wake Counseling Associates PLLC2 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.

Locations

1008 Big Oak Ct
Knightdale, NC 27545
Phone (919) 200-6091

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.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1164664074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275451215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458841",
            "telephone_number": "919-200-6091",
            "fax_number": "919-341-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-200-6091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6803",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.