Active NPI
Sand Dollar Wellness Center, P.C.
- Counselor
- Wilmington, NC
National Provider Identifier
1164872883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9089
- Legal business name
- SAND DOLLAR WELLNESS CENTER, P.C.
- Practice address
- 1136 Shipyard Blvd
Wilmington, NC 28412-6439 - Phone
- (910) 233-8082
- NPI assigned
- Jun 14, 2016
- Last updated
- Jun 14, 2016
- 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
- Miss Anne Emerson Whitted, LPC, LCAS-A
- Title
- Owner/Therapist
- Phone
- (910) 233-8082
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9089 | NC | Primary |
| Psychologist | 103T00000X | 3720 | NC |
Addresses
Primary practice location
1136 Shipyard Blvd
Wilmington, NC 28412-6439
Mailing address
7705 Masonboro Sound Rd
Wilmington, NC 28409-2670
Phone (910) 233-8082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396087532 | Other | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
1136 Shipyard Blvd
Wilmington, NC 28412
Phone (910) 233-8082
Practitioners & affiliated clinicians
Practitioners 5
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
- Wilmington, NC
- NPI 1154876118
-
- Clinical Social Worker
- Wilmington, NC
- NPI 1477866259
-
- Clinical Social Worker
- Shallotte, NC
- NPI 1093323594
-
- Professional Counselor
- Wilmington, NC
- NPI 1922508019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1164872883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7705 MASONBORO SOUND RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092670",
"telephone_number": "910-233-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126439",
"telephone_number": "910-233-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAND DOLLAR WELLNESS CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "WHITTED",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "EMERSON",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "910-233-8082",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LPC, LCAS-A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "9089",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3720",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1396087532",
"state": null
}
],
"endpoints": [],
"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 Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.