NPIMap

Organization Active NPI

North Carolina Therapy Professionals, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1386393775
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH CAROLINA THERAPY PROFESSIONALS, PLLC
Practice address
3326 Durham Chapel Hill Blvd Ste 130B
Durham, NC 27707-6244
Phone
(919) 267-1661
NPI assigned
Mar 22, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
James McCracken, MSW, LCSW, DCSWNPI 1316224389
Title
Managing Member, Clinical Director
Phone
(919) 267-1661

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X
Counseling Psychologist 103TC1900X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3326 Durham Chapel Hill Blvd Ste 130B
Durham, NC 27707-6244

Mailing address

3326 Durham Chapel Hill Blvd Ste 130B
Durham, NC 27707-6244
Phone (919) 267-1661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911001907 NC Part B Supplier - Clinic/Group Practice 1254795115 Receives reassigned benefits from 6 practitioners
Practice locations: Charlotte, NC; Durham, NC; Raleigh, NC; Wilmington, NC; Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

1320 Broad St
Durham, NC 27705
Phone (828) 275-4629

1415 W NC Highway 54
Durham, NC 27707
Phone (919) 275-1405

4011 University Dr
Ste 202
Durham, NC 27707
Phone (919) 283-6418

3321 Trillium Whorl Ct
Raleigh, NC 27607

4620 Cedar Ave
Wilmington, NC 28403
Phone (703) 597-3420

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1386393775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 130B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076244",
            "telephone_number": "919-267-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 130B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076244",
            "telephone_number": "919-267-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA THERAPY PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-267-1661",
        "authorized_official_credential": "MSW, LCSW, DCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 20, 2022; 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.