ICU Christian Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ICU CHRISTIAN COUNSELING SERVICES

Practice address

4 Consultant PL Ste B
Durham, NC 27707-6338

Phone

(919) 442-8481

NPI assigned

Sep 7, 2024

Organization subpart

No

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

Authorized official

Name

Tedra Cook, LCSWNPI 1053910984

Title

Owner

Phone

(252) 256-0465

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Tedra S Cook, MSW, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1053910984
  NPD Authorized official
• Carynne Donee Williams, LQP, MPA, MSW, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1639442205
  NPD
• Kendra Wiggins

  • Mental Health Counselor
  • Chapel Hill, NC
  • NPI 1548811326
  NPD (past)

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1528893591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CHESTNUT OAK PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045196",
            "telephone_number": "252-256-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CONSULTANT PL STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076338",
            "telephone_number": "919-442-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Chestnut Oak Pl",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277045196",
            "country_code": "US",
            "telephone_number": "252-256-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICU CHRISTIAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-256-0465",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hania Ashraf Ah Ibrahim, MD
• Michael Bassam Ibrahim
• Zina Ibrahim
• Icare Therapy NC LLC
• Shannon Brooke Icenhour, PT
• Valerie Benedicta Idada-Parker, DNP, PMHNP-BC, FNP
• Ideal Day Program
• Ideal Home Health Services, Inc
• Idella Wright Homes,LLC
• Juliet Idiagbonya, MSN, RN, FNP-C, WOCN

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Sep 7, 2024; 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.