Organization Active NPI

Cultivating Wellness Therapeutic & Consulting Services, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1346879103
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CULTIVATING WELLNESS THERAPEUTIC & CONSULTING SERVICES, PLLC
Practice address
1415 West Highway 54
300-214
Durham, NC 27707
Phone
(919) 408-7686
Fax
(919) 646-5011
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Mrs. Samonia Lay Barrett, MSW, LCSWNPI 1487995296
Title
Owner
Phone
(919) 225-8242

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1415 West Highway 54
300-214
Durham, NC 27707

Mailing address

1305 Corwith Dr
Morrisville, NC 27560-9545
Phone (919) 408-7686

Other identifiers 1

IdentifierTypeStateIssuer
1487995296MedicaidNC

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": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1346879103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CORWITH DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609545",
            "telephone_number": "919-408-7686",
            "fax_number": "919-646-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WEST HIGHWAY 54",
            "address_2": "300-214",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-408-7686",
            "fax_number": "919-646-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING WELLNESS THERAPEUTIC & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SAMONIA",
        "authorized_official_middle_name": "LAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-225-8242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487995296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.