NPIMap

Organization Active NPI

Vida Counseling, PLLC

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1487007563
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCS 4935 Issued in NC
Legal business name
VIDA COUNSELING, PLLC
Practice address
6512 Six Forks Rd
Suite 403B
Raleigh, NC 27615-6561
Phone
(919) 368-5207
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Dr. Heloisa Portela, PHD, LPCS, ACS, RPTS
Title
Licensed Professional Counselor Sup
Phone
(919) 368-5207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPCS 4935 NC Primary

Addresses

Primary practice location

6512 Six Forks Rd
Suite 403B
Raleigh, NC 27615-6561

Mailing address

6512 Six Forks Rd
Suite 403B
Raleigh, NC 27615-6561
Phone (919) 368-5207

National Provider Directory

National Provider Directory

Locations

6512 Six Forks Rd
Ste 403B
Raleigh, NC 27615
Phone (919) 368-5207

Practitioners & affiliated clinicians

Practitioners 2

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": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1487007563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 403B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-368-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 403B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-368-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "PORTELA",
        "authorized_official_first_name": "HELOISA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR SUP",
        "authorized_official_telephone_number": "919-368-5207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPCS, ACS, RPTS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPCS 4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.