Organization Active NPI

Synergie Counseling, PLLC

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1326637745
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SYNERGIE COUNSELING, PLLC
Practice address
1522 Harbour Dr
Wilmington, NC 28401-7714
Phone
(910) 431-9455
Fax
(910) 401-1769
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Lisa Anne Wich-Layman, LCMHC, LCAS, CSATNPI 1962957860
Title
Owner
Phone
(910) 431-9455

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1522 Harbour Dr
Wilmington, NC 28401-7714

Mailing address

670 River Rd SE
Belville, NC 28451-8437
Phone (910) 431-9455

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1326637745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 RIVER RD SE",
            "city": "BELVILLE",
            "state": "NC",
            "postal_code": "284518437",
            "telephone_number": "910-431-9455",
            "fax_number": "910-401-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017714",
            "telephone_number": "910-431-9455",
            "fax_number": "910-401-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WICH-LAYMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-431-9455",
        "authorized_official_credential": "LCMHC, LCAS, CSAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE 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 Jan 13, 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.

Verify at the official NPI Registry.