Organization Active NPI

Sand Dollar Wellness Center, P.C.

  • Counselor
  • Wilmington, NC
National Provider Identifier
1164872883
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
9089 Issued in NC
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1396087532OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.