Organization Active NPI

Life Changing Counseling, PLLC

  • Mental Health Counselor
  • Knightdale, NC
National Provider Identifier
1285244210
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE CHANGING COUNSELING, PLLC
Practice address
449 Cedar Pond CT
Knightdale, NC 27545-6063
Phone
(919) 247-7198
NPI assigned
Aug 4, 2020
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Brittney Williamson, MA, LCMHCNPI 1740551514
Title
Outpatient Therapist
Phone
(919) 752-7118

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X
Psychoanalyst 102L00000X

Addresses

Primary practice location

449 Cedar Pond CT
Knightdale, NC 27545-6063

Mailing address

449 Cedar Pond CT
Knightdale, NC 27545-6063
Phone (919) 752-7118

Other identifiers 1

IdentifierTypeStateIssuer
1740551514MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lifechangingcounselingnc@gmail.com

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1285244210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 CEDAR POND CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456063",
            "telephone_number": "919-752-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 CEDAR POND CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456063",
            "telephone_number": "919-247-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "919-752-7118",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740551514",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lifechangingcounselingnc@gmail.com",
            "affiliation": "N",
            "address_1": "449 Cedar Pond Ct",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.