NPIMap

Organization Active NPI

Living Beyond It Counseling and Consultation Services, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Smithfield, NC
National Provider Identifier
1467075432
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIVING BEYOND IT COUNSELING AND CONSULTATION SERVICES, PLLC
Practice address
201 S Brightleaf Blvd Ste 6
Smithfield, NC 27577-4077
Phone
(919) 631-4831
Fax
(919) 400-4602
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Mrs. Renee Watson Adams, MS, LCMHC, LCAS, CCSNPI 1104248491
Title
Owner
Phone
(919) 631-4831

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

201 S Brightleaf Blvd Ste 6
Smithfield, NC 27577-4077

Mailing address

212 Brookside Dr
Smithfield, NC 27577-3054
Phone (919) 631-4831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626000552 NC Part B Supplier - Clinic/Group Practice 4385188820 Receives reassigned benefits from 2 practitioners
Practice locations: Smithfield, NC

National Provider Directory

National Provider Directory

Locations

201 S Brightleaf Blvd
Ste 6
Smithfield, NC 27577
Phone (919) 628-4974

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": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1467075432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BROOKSIDE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773054",
            "telephone_number": "919-631-4831",
            "fax_number": "919-400-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BRIGHTLEAF BLVD STE 6",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774077",
            "telephone_number": "919-631-4831",
            "fax_number": "919-400-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING BEYOND IT COUNSELING AND CONSULTATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-631-4831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.