Individual provider Active NPI

Julia Wheeler, LPCA, NCC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1447622998
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11907 Issued in NC
Practice address
536 Wait Ave
Wake Forest, NC 27587-2728
Phone
(919) 210-0580
Fax
(919) 435-1480
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11907 NC Primary

Addresses

Primary practice location

536 Wait Ave
Wake Forest, NC 27587-2728

Mailing address

9905 Sovereign Way
Wake Forest, NC 27587-4909
Phone (919) 210-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000969 NC Practitioner - Mental Health Counselor 7911430152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charis Foundation IncGroup PAC ID 0244411882, 3 clinicians

Practice addresses (Care Compare)

536 Wait Ave
Wake Forest, NC 27587-2728
Phone (919) 426-5754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11907NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Foundation Inc CurrentSince Jun 27, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1447622998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 SOVEREIGN WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874909",
            "telephone_number": "919-210-0580",
            "fax_number": "919-435-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WAIT AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872728",
            "telephone_number": "919-210-0580",
            "fax_number": "919-435-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JULIA",
        "credential": "LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.