Lake Area Counseling, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKE AREA COUNSELING, INC.

Practice address

519 Walker Ave
Norlina, NC 27563-9791

Phone

(252) 456-6541

Fax

(252) 456-6541

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E. Blackman, PH.D.

Title

Ceo

Phone

(252) 456-6541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1326278946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 WALKER AVE",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639791",
            "telephone_number": "252-456-6541",
            "fax_number": "252-456-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 WALKER AVE",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639791",
            "telephone_number": "252-456-6541",
            "fax_number": "252-456-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-456-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin & Downey Heavenly Living Home 1
• Gavin & Downey Heavenly Living Home II
• Guardian Angel Healthcare, LLC
• Guardian Angel Healthcare, LLC (Alieah's Place)
• Hunter J Group LLC
• Lea's Assisted Living #1, Inc. (Floyd B. McKissick Sr. Assisted Living Center)
• Making a Difference Ministries
• Ebony Rachel Moore
• Emily Y Newell
• Odd Enterprises

• Community/Behavioral Health Agency in Norlina, NC
• Providers in Norlina, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.