NPIMap

Organization Active NPI

Vallereux Counseling Services, PC

  • Counselor
  • Statesville, NC
National Provider Identifier
1174767099
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10324 Issued in NC
Legal business name
VALLEREUX COUNSELING SERVICES, PC
Practice address
408 E Broad St
Statesville, NC 28677-5329
Phone
(704) 838-1115
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mrs. Sallie D Vallereux, LPC, LCAS
Title
Owner
Phone
(704) 838-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 10324 NC Primary

Addresses

Primary practice location

408 E Broad St
Statesville, NC 28677-5329

Mailing address

408 E Broad St
Statesville, NC 28677-5329
Phone (704) 838-1115

Other identifiers 1

IdentifierTypeStateIssuer
6001034MedicaidNC

National Provider Directory

National Provider Directory

Locations

408 E Broad St
Statesville, NC 28677
Phone (704) 838-1115

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1174767099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775329",
            "telephone_number": "704-838-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775329",
            "telephone_number": "704-838-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEREUX COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "VALLEREUX",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-838-1115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "10324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.