Organization Active NPI

Ilex Counseling Services PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1366268153
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ILEX COUNSELING SERVICES PLLC
Practice address
3500 Westgate Dr Ste 203
Durham, NC 27707-2540
Phone
(919) 452-6464
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Elizabeth DonderoNPI 1508903428
Title
LCSW
Phone
(919) 452-6464

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3500 Westgate Dr Ste 203
Durham, NC 27707-2540

Mailing address

2802 Welcome Dr
Durham, NC 27705-5516
Phone (919) 452-6464

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1366268153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 WELCOME DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055516",
            "telephone_number": "919-452-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072540",
            "telephone_number": "919-452-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEX COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "DONDERO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "919-452-6464"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 26, 2024; 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.