NPIMap

Organization Active NPI

LCP Services NC PLLC

  • Psychologist
  • Wilmington, NC
National Provider Identifier
1366116485
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LCP SERVICES NC PLLC
Practice address
4000 Shipyard Blvd Ste 100
Wilmington, NC 28403-6194
Phone
(910) 792-5570
NPI assigned
Aug 3, 2021
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Whitney Danso, PHDNPI 1720611833
Title
Managing Member
Phone
(803) 902-1659

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4000 Shipyard Blvd Ste 100
Wilmington, NC 28403-6194

Mailing address

8508 Park Rd Ste 235
Charlotte, NC 28210-5803

Other practice location 1

344 Rolling Hill Rd Ste 101C
Mooresville, NC 28117-6865
Phone (704) 664-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211027000498 NC Part B Supplier - Clinic/Group Practice 5193113033 Receives reassigned benefits from 8 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

801 E Morehead St
Ste 1053285
Charlotte, NC 28202

344 Rolling Hill Rd
Ste 101C
Mooresville, NC 28117
Phone (704) 664-7148

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1366116485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 PARK RD STE 235",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036194",
            "telephone_number": "910-792-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Rolling Hill Rd Ste 101C",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176865",
            "country_code": "US",
            "telephone_number": "704-664-7148",
            "fax_number": "704-664-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LCP SERVICES NC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DANSO",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "803-902-1659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 12, 2024; 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.