Organization Active NPI

Carolina Wellness and Counseling, PLLC

  • Professional Counselor
  • Wilson, NC
National Provider Identifier
1376989756
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7879 Issued in NC
Legal business name
CAROLINA WELLNESS AND COUNSELING, PLLC
Practice address
2405 Nash St NW Ste D
Wilson, NC 27896-1634
Phone
(252) 319-5454
Fax
(252) 376-1009
NPI assigned
May 13, 2013
Organization subpart
Yes
Parent organization
CAROLINA WELLNESS AND COUNSELING, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mrs. Angela H Small, MS, LCMHC, NCCNPI 1568786424
Title
Owner, Psychotherapist
Phone
(252) 319-5454

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 7879 NC Primary

Addresses

Primary practice location

2405 Nash St NW Ste D
Wilson, NC 27896-1634

Mailing address

2405 Nash St NW Ste D
Wilson, NC 27896-1634
Phone (252) 319-5454

Other identifiers 3

IdentifierTypeStateIssuer
1568786424OtherNCBCBS
506455OtherTRICARE
1568786424OtherINDIVIDUAL NPI

Other names 1

  • Angela H Small, MS, LPC, NCC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116001509 NC Part B Supplier - Clinic/Group Practice 2567990674 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory
Part of
Carolina Wellness and Counseling PLLC

Locations

405 Nash St W
Ste 208
Wilson, NC 27893
Phone (252) 360-0804

Practitioners & affiliated clinicians

Practitioners 4

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": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1376989756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NASH ST NW STE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961634",
            "telephone_number": "252-319-5454",
            "fax_number": "252-376-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 NASH ST NW STE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961634",
            "telephone_number": "252-319-5454",
            "fax_number": "252-376-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WELLNESS AND COUNSELING, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA WELLNESS AND COUNSELING, PLLC",
        "enumeration_date": "2013-05-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "252-319-5454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1568786424",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "506455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568786424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela H Small, MS, LPC, NCC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Angela H Small, MS, LPC, NCC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.