Benevolent Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BENEVOLENT COUNSELING, PLLC

Doing business as

Benevolent Counseling

Practice address

2911 Breezewood Ave Ste 201
Fayetteville, NC 28303-5464

Phone

(910) 568-5122

Fax

(910) 312-3569

NPI assigned

Jan 2, 2019

Last updated

Aug 12, 2024By 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

Leisa K Cook, MS, LCMHCNPI 1255799920

Title

Director/Owner

Phone

(910) 568-5122

Specialties & licenses 2

Addresses

Other names 1

• Benevolent Counseling Doing business as

Locations

Practitioners 1

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.

• Leisa Keisha Cook, LPC-A, LCAS-A

  • Professional Counselor
  • Cameron, NC
  • NPI 1255799920
  NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1538632518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GROVER PL",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266210",
            "telephone_number": "910-824-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 BREEZEWOOD AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035464",
            "telephone_number": "910-568-5122",
            "fax_number": "910-312-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LEISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-568-5122",
        "authorized_official_credential": "MS, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benevolent Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benevolent Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.