Isa Counseling, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-2603 Issued in NC

Legal business name

ISA COUNSELING, LLC

Practice address

1709 Legion Rd
Suite 117
Chapel Hill, NC 27517-2375

Phone

(919) 903-6167

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Victoria L Shields, LLCNPI 1053674960

Title

Owner

Phone

(919) 903-6167

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Victoria Lynn Shields, M.DIV., M.ED., LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Chapel Hill, NC
  • NPI 1053674960
  Authorized official Same address or phone

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1174077853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 117",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-903-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 117",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-903-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-903-6167",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053674960",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "12726515",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.