Organization Active NPI

Somatic Integrative Psychotherapy Clinic of NC, PLLC

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1619760295
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOMATIC INTEGRATIVE PSYCHOTHERAPY CLINIC OF NC, PLLC
Practice address
2109 N Lakeshore Dr
Chapel Hill, NC 27514-2026
Phone
(919) 525-4037
NPI assigned
May 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Kimberly Jeffs, MANPI 1457500118
Title
Ceo
Phone
(919) 525-4037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2109 N Lakeshore Dr
Chapel Hill, NC 27514-2026

Mailing address

2109 N Lakeshore Dr
Chapel Hill, NC 27514-2026
Phone (919) 525-4037

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": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1619760295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N LAKESHORE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142026",
            "telephone_number": "919-525-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N LAKESHORE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142026",
            "telephone_number": "919-525-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC INTEGRATIVE PSYCHOTHERAPY CLINIC OF NC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "JEFFS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-525-4037",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.