Active NPI
Divine Interventions Counseling Center, PLLC
- Clinical Social Worker
- Wilson, NC
National Provider Identifier
1245399203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004270
- Legal business name
- DIVINE INTERVENTIONS COUNSELING CENTER, PLLC
- Practice address
- 3704 Trace Dr W
Wilson, NC 27893-8347 - Phone
- (252) 245-2048
- Fax
- (888) 634-1369
- NPI assigned
- Dec 6, 2006
- 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
- Mrs. Janet Eleanore Yankosky, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (252) 245-2048
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004270 | NC | Primary |
Addresses
Primary practice location
3704 Trace Dr W
Wilson, NC 27893-8347
Mailing address
P.O. Box 3001
Wilson, NC 27895-3001
Phone (252) 234-2048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1379H | Other | NC | BCBS PROVIDER NUMBER |
| 2113388 | Other | NC | CIGNA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Wilson, NC
- NPI 1164759619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1245399203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3001",
"city": "WILSON",
"state": "NC",
"postal_code": "278953001",
"telephone_number": "252-234-2048",
"fax_number": "252-234-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 TRACE DR W",
"city": "WILSON",
"state": "NC",
"postal_code": "278938347",
"telephone_number": "252-245-2048",
"fax_number": "888-634-1369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE INTERVENTIONS COUNSELING CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "YANKOSKY",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "ELEANORE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "252-245-2048",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "1379H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2113388",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.