Organization Active NPI

Avery Ridge Counseling, PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1194470666
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AVERY RIDGE COUNSELING, PLLC
Practice address
8212 Creedmoor Rd Ste 101
Raleigh, NC 27613-1386
Phone
(919) 825-0004
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Leah BerryNPI 1104059443
Title
Owner/Counselor
Phone
(919) 825-0004

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8212 Creedmoor Rd Ste 101
Raleigh, NC 27613-1386

Mailing address

8212 Creedmoor Rd Ste 101
Raleigh, NC 27613-1386
Phone (919) 825-0004

National Provider Directory

National Provider Directory

Locations

8212 Creedmoor Rd
Ste 101
Raleigh, NC 27613
Phone (919) 825-0004

Practitioners & affiliated clinicians

Practitioners 2

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": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1194470666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131386",
            "telephone_number": "919-825-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131386",
            "telephone_number": "919-825-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY RIDGE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "919-825-0004"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.