Organization Active NPI

Embrace Growth Counseling and Consulting Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1306129994
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMBRACE GROWTH COUNSELING AND CONSULTING SERVICES, PLLC
Practice address
305 Abbottswood Dr
Fayetteville, NC 28301-3369
Phone
(910) 227-9779
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Shenethia Fenner Shaw, LCMHCSNPI 1093943425
Title
Ceo/Counselor
Phone
(910) 227-9779

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 Abbottswood Dr
Fayetteville, NC 28301-3369

Mailing address

PO Box 9834
Fayetteville, NC 28311-9092
Phone (910) 227-9779

National Provider Directory

National Provider Directory

Locations

1009 Hay St
Ste B
Fayetteville, NC 28305

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1306129994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9834",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119092",
            "telephone_number": "910-227-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ABBOTTSWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013369",
            "telephone_number": "910-227-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE GROWTH COUNSELING AND CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHENETHIA",
        "authorized_official_middle_name": "FENNER",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "910-227-9779",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.