Organization Active NPI

Dare to Grow Counseling, PLLC

  • Mental Health Counselor
  • Kitty Hawk, NC
National Provider Identifier
1447012844
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DARE TO GROW COUNSELING, PLLC
Practice address
12 Juniper TRL Ste 202
Kitty Hawk, NC 27949-3745
Phone
(252) 616-0658
Fax
(252) 242-8923
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Crystal Marie Abernathy, LCMHCNPI 1295200814
Title
Clinical Mental Health Counselor
Phone
(252) 616-0658

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

12 Juniper TRL Ste 202
Kitty Hawk, NC 27949-3745

Mailing address

101 Airstrip Rd # 255
Kill Devil Hills, NC 27948-8134
Phone (252) 616-0658

National Provider Directory

National Provider Directory

Locations

12 Juniper Trl
Ste 202
Kitty Hawk, NC 27949
Phone (252) 616-0658

Practitioners & affiliated clinicians

Practitioners 2

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": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1447012844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AIRSTRIP RD # 255",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488134",
            "telephone_number": "252-616-0658",
            "fax_number": "252-242-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JUNIPER TRL STE 202",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493745",
            "telephone_number": "252-616-0658",
            "fax_number": "252-242-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE TO GROW COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "252-616-0658",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.