Individual provider Active NPI

Jasmin Kaur Ahluwalia, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1609385418
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010533 Issued in NC
Practice address
5834 Faringdon PL Ste 100
Raleigh, NC 27609-3930
Phone
(919) 434-1086
NPI assigned
Sep 25, 2017
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012077 NC
Clinical Social Worker 1041C0700X P010533 NC Primary

Addresses

Primary practice location

5834 Faringdon PL Ste 100
Raleigh, NC 27609-3930

Mailing address

8716 Forester LN
Apex, NC 27539-7966
Phone (919) 434-1086

Other practice location 1

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001

Other practice location 2

106 Fountain Brook Cir Ste B
Cary, NC 27511-4478
Phone (919) 297-8322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C012077NCMDClinical Social Worker
P010533NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaur Counseling Group Clinical CurrentSince Feb 12, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1609385418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 FORESTER LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397966",
            "telephone_number": "919-434-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 FARINGDON PL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930",
            "telephone_number": "919-434-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Durham Chapel Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072829",
            "country_code": "US",
            "telephone_number": "919-251-9001",
            "fax_number": "919-251-9008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Fountain Brook Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275114478",
            "country_code": "US",
            "telephone_number": "919-297-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "JASMIN",
        "middle_name": "KAUR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010533",
            "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 Apr 4, 2019; 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.