Orinoco Wellness, LC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ORINOCO WELLNESS, LC

Practice address

200 N Main St
Graham, NC 27253-2853

Phone

(336) 265-6595

NPI assigned

Dec 13, 2022

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven J Barnes

Title

President

Phone

(336) 265-6723

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jazmon Womack

  • Clinical Social Worker
  • Browns Summit, NC
  • NPI 1063933539
  Medicare reassignment Care Compare group NPD
• Michael Acampora

  • Counselor
  • Springfield, MA
  • NPI 1427229889

  NC

  Medicare reassignment Care Compare group NPD
• Brittany Hargrove

  • Clinical Social Worker
  • Burlington, NC
  • NPI 1306271317
  Medicare reassignment NPD
• Peter A. Bertelli, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Wylie, SC
  • NPI 1235766338

  NC

  Medicare reassignment NPD
• Jailyn Jackson, LCMHC-A

  • Mental Health Counselor
  • Graham, NC
  • NPI 1215713375
  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1508577321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 BONAVENTURE DR UNIT 302",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779509",
            "telephone_number": "336-613-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532853",
            "telephone_number": "336-265-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORINOCO WELLNESS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-265-6723"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1298",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Graham, NC
• Providers in Graham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.