Organization Active NPI

Destiny Counseling Connection PLLC

  • Professional Counselor
  • Garner, NC
National Provider Identifier
1174766554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6697 Issued in NC
Legal business name
DESTINY COUNSELING CONNECTION PLLC
Practice address
12450 Cleveland School Rd Ste 205
Garner, NC 27529-8355
Phone
(919) 502-9361
Fax
(919) 934-2982
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kimberly Dee Morden, LPCNPI 1356537724
Title
Owner
Phone
(919) 502-9361

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6697 NC Primary

Addresses

Primary practice location

12450 Cleveland School Rd Ste 205
Garner, NC 27529-8355

Mailing address

105 Aviary CT
Clayton, NC 27520-4055
Phone (919) 502-9093

National Provider Directory

National Provider Directory

Locations

102 N Market St
Benson, NC 27504
Phone (919) 502-9361

12450 Cleveland School Rd
Ste 205
Garner, NC 27529
Phone (252) 230-0832

109 E Oak St
Selma, NC 27576
Phone (919) 502-9361

210 Peedin Rd
Smithfield, NC 27577
Phone (919) 502-9361

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174766554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVIARY CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204055",
            "telephone_number": "919-502-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND SCHOOL RD STE 205",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298355",
            "telephone_number": "919-502-9361",
            "fax_number": "919-934-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY COUNSELING CONNECTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORDEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-502-9361",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.