Organization Active NPI

Wellness & Support Counseling PLLC

  • Professional Counselor
  • Conover, NC
National Provider Identifier
1396478178
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WELLNESS & SUPPORT COUNSELING PLLC
Practice address
16TH Ave SE
207A
Conover, NC 28613-2861
Phone
(828) 380-5839
Fax
(704) 973-7865
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Authorized official

Name
Sophie K Reaves, MA, LCMHC, NCCNPI 1700457488
Title
Member/Organizer
Phone
(828) 380-5839

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 Primary

Addresses

Primary practice location

16TH Ave SE
207A
Conover, NC 28613-2861

Mailing address

615 River Highway
PMB 1072
Mooresville, NC 28117-9286
Phone (828) 838-9932

National Provider Directory

National Provider Directory

Locations

615 River Hwy
Mooresville, NC 28117

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707004800000",
    "number": "1396478178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 RIVER HIGHWAY",
            "address_2": "PMB 1072",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179286",
            "telephone_number": "828-838-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH AVE SE",
            "address_2": "207A",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132861",
            "telephone_number": "828-380-5839",
            "fax_number": "704-973-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & SUPPORT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "828-380-5839",
        "authorized_official_credential": "MA, LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.