Organization Active NPI

Live Oak Counseling and Associates

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1225702657
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE OAK COUNSELING AND ASSOCIATES
Practice address
3806 Park Ave Ste D
Wilmington, NC 28403-6739
Phone
(910) 636-5100
Fax
(910) 636-5101
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Wendy Laursen, LCMHCNPI 1760890339
Title
Owner
Phone
(910) 538-4397

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3806 Park Ave Ste D
Wilmington, NC 28403-6739

Mailing address

33 Pelican Point Rd
Wilmington, NC 28409-3567
Phone (910) 538-4397

National Provider Directory

National Provider Directory

Locations

3806 Park Ave
Ste D
Wilmington, NC 28403
Phone (910) 636-5100

Practitioners & affiliated clinicians

Practitioners 1

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": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1225702657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PELICAN POINT RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093567",
            "telephone_number": "910-538-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 PARK AVE STE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036739",
            "telephone_number": "910-636-5100",
            "fax_number": "910-636-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK COUNSELING AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "LAURSEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-538-4397",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.