Active NPI
Live Oak Counseling and Associates
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1225702657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Laursen, LCMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Wilmington, NC
- NPI 1760890339
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.