Organization Active NPI

Village Designed Counseling, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1538741871
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VILLAGE DESIGNED COUNSELING, PLLC
Practice address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone
(704) 207-7598
NPI assigned
Apr 26, 2021
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Ms. Briana Alycee Wilson, LMFTNPI 1255783692
Title
Owner
Phone
(704) 207-7598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6135 Park South Dr Ste 510
Charlotte, NC 28210-0100

Mailing address

7321 Marcel LN Apt 1026
Charlotte, NC 28226-8677
Phone (704) 207-7598

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bwilson@villagedesignedcounseling.family Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1538741871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 MARCEL LN APT 1026",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268677",
            "telephone_number": "704-207-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 510",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100100",
            "telephone_number": "704-207-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DESIGNED COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_middle_name": "ALYCEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-207-7598",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bwilson@villagedesignedcounseling.family",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6135 Park South Dr Ste 510",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282100100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.