Organization Active NPI

Polaris Psychological Health Counseling and Consulting Services PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1598362154
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POLARIS PSYCHOLOGICAL HEALTH COUNSELING AND CONSULTING SERVICES PLLC
Practice address
181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573
Phone
(253) 576-3898
Fax
(253) 655-2055
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Dr. Tracey Lynette Poirrier, LCHMC
Title
Provider
Phone
(253) 576-3898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573

Mailing address

181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573
Phone (253) 576-3898

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.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1598362154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WIND CHIME CT STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156573",
            "telephone_number": "253-576-3898",
            "fax_number": "253-655-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WIND CHIME CT STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156573",
            "telephone_number": "253-576-3898",
            "fax_number": "253-655-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PSYCHOLOGICAL HEALTH COUNSELING AND CONSULTING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "POIRRIER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-576-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCHMC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.