Individual provider Active NPI

Julie Warren, LPC, LCAS, RN

  • Mental Health Counselor
  • Woodland, NC
National Provider Identifier
1225194012
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5359 Issued in NC
Practice address
413 Spruce Street
Woodland, NC 27897
Phone
(252) 578-4455
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5359 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1498 NC

Addresses

Primary practice location

413 Spruce Street
Woodland, NC 27897

Mailing address

413 Spruce Street
PO Box 56
Woodland, NC 27897
Phone (252) 578-4455

Other identifiers 1

IdentifierTypeStateIssuer
6103361MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218002732 NC Practitioner - Mental Health Counselor 2769919521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1498NCMDAddiction (Substance Use Disorder) Counselor
5359NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 25, 2024 Accepting new patients
Julie Warren Counseling Addiction (Substance Use Disorder) CurrentSince Jan 14, 2024 Accepting new patients
Family&Youth Services Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1225194012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SPRUCE STREET",
            "address_2": "PO BOX 56",
            "city": "WOODLAND",
            "state": "NC",
            "postal_code": "27897",
            "telephone_number": "252-578-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SPRUCE STREET",
            "city": "WOODLAND",
            "state": "NC",
            "postal_code": "27897",
            "telephone_number": "252-578-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JULIE",
        "credential": "LPC, LCAS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5359",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103361",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, NC

Sources for this page

Verify at the official NPI Registry.