Organization Active NPI

The Family Wellness Center PLLC

  • Marriage & Family Therapist
  • Greenville, NC
National Provider Identifier
1497989842
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1133 Issued in NC
Legal business name
THE FAMILY WELLNESS CENTER PLLC
Practice address
1025B Director CT
Greenville, NC 27858-5996
Phone
(252) 215-9011
Fax
(252) 215-9012
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. David E Bell Jr., LMFTNPI 1477632073
Title
Owner
Phone
(252) 814-5464

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1133 NC Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 200001435 NC

Addresses

Primary practice location

1025B Director CT
Greenville, NC 27858-5996

Mailing address

7062 Cherry Run Rd
Washington, NC 27889-8398
Phone (252) 814-5464

Other identifiers 3

IdentifierTypeStateIssuer
5917408MedicaidNC
6006254MedicaidNC
6006792MedicaidNC

National Provider Directory

National Provider Directory

Locations

1025 Director Ct
#B
Greenville, NC 27858
Phone (252) 215-9011

1025B Director Ct
Greenville, NC 27858
Phone (252) 215-9011

Practitioners & affiliated clinicians

Practitioners 10

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": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1497989842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 CHERRY RUN RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278898398",
            "telephone_number": "252-814-5464",
            "fax_number": "252-215-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025B DIRECTOR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585996",
            "telephone_number": "252-215-9011",
            "fax_number": "252-215-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-814-5464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1133",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200001435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917408",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006254",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.