Momentum Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008604 Issued in NC

Legal business name

MOMENTUM COUNSELING SERVICES, PLLC

Practice address

8510 Six Forks Rd
Suite 101
Raleigh, NC 27615-3257

Phone

(919) 260-8229

Fax

(919) 590-1982

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Holly Burgin, LCSWNPI 1841699162

Title

Owner

Phone

(919) 260-8229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Burgin, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1841699162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1497115281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 SIX FORKS RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153257",
            "telephone_number": "919-260-8229",
            "fax_number": "919-590-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 SIX FORKS RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153257",
            "telephone_number": "919-260-8229",
            "fax_number": "919-590-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "BURGIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-260-8229",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1841699162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J. Molinoff, LIC. AC.
• Daniel J Mollin, M.D.
• Brooke Hill Molthen, DPT
• Peggy Molyneux, PA-C
• Moments to Milestones: Therapeutic Services, PLLC
• Momentum Physiotherapy
• Momentum TM, Inc.
• Mona R Gupta, DO Incorporated
• Mona R Gupta, DO Incorporated
• Thomas Joseph Monaco Jr., MD

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.