Southern Wake Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6827 Issued in NC

Legal business name

SOUTHERN WAKE COUNSELING CENTER

Practice address

1880 N Broad St
Fuquay Varina, NC 27526-3657

Phone

(919) 557-8222

Fax

(919) 557-8223

NPI assigned

Nov 26, 2008

Last updated

Jul 9, 2026By 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

Claudine Bernice Langdon, LPCNPI 1306020870

Title

Clinical Director

Phone

(919) 557-8222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 21

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.

• Claudine Bernice Langdon, LCMHC

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1306020870
  Medicare reassignment NPD Authorized official
• Christine A Grullon, CMSW, LCSWA

  • Clinical Social Worker
  • Fuquay Varina, NC
  • NPI 1740077460
  NPD
• Donna Augustono, MA, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1497247696
  NPD (past)
• Allison Rose Barlow, MA, LCMHCA

  • Professional Counselor
  • Raleigh, NC
  • NPI 1124882147
  NPD (past)
• Kristalee Caldwell, LCSWA

  • Clinical Social Worker
  • Concord, NC
  • NPI 1770935553
  NPD (past)
• Sarah Cassel

  • Clinical Social Worker
  • Fuquay Varina, NC
  • NPI 1033098462
  NPD (past)
• Carolyn Cordasco

  • Clinical Social Worker
  • Durham, NC
  • NPI 1760415350
  NPD (past)
• Christina Danielle Dixon

  • Professional Counselor
  • Pikeville, NC
  • NPI 1396259982
  NPD (past)
• Tiffany Eve Fass

  • Counselor
  • Fuquay Varina, NC
  • NPI 1720904014
  NPD (past)
• Karen Steinbuechler Franks, LCMHC

  • Counselor
  • Fuquay Varina, NC
  • NPI 1457108987
  NPD (past)
• Amy Dale Mercado Johnson, M.ED., LPC, NCC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1376829945
  NPD (past)
• Sara Konyn, LMFTA

  • Marriage & Family Therapist
  • Fuquay Varina, NC
  • NPI 1013711035
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1356596720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WAKE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "CLAUDINE",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-557-8222",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Ryan Sorrells, PA-C
• Soul Care Psychiatry PLLC
• South Wake Oral Surgery & Dental Implants
• Southern Cross Community Service Inc.
• Southern Cross Community Services Inc (Southern Cross Mental Health Centers)
• Southern Wake Medical Center
• Gina Marie Sox, RDH
• Wanet Elizabeth Sparks, NP
• Speak Easy Rehabilitation, PLLC
• Drew Parker Spears, FNP

• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.