Organization Active NPI

Rhema Counseling & Support Services, PC

  • Professional Counselor
  • Durham, NC
National Provider Identifier
1639401268
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7306 Issued in NC
Legal business name
RHEMA COUNSELING & SUPPORT SERVICES, PC
Practice address
5317 Highgate Dr
Suite 214
Durham, NC 27713-6622
Phone
(919) 544-1300
Fax
(919) 544-1331
NPI assigned
Feb 8, 2010
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Ms. Janice L Bryant, LPC,LCAS, NCCNPI 1538303102
Title
Ceo
Phone
(919) 544-1300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1884 NC
Professional Counselor 101YP2500X 7306 NC Primary

Addresses

Primary practice location

5317 Highgate Dr
Suite 214
Durham, NC 27713-6622

Mailing address

5317 Highgate Dr
Suite 214
Durham, NC 27713-6622
Phone (919) 544-1300

Other identifiers 1

IdentifierTypeStateIssuer
6006982MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829000022 NC Part B Supplier - Clinic/Group Practice 3678868791 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

5317 Highgate Dr
Ste 214
Durham, NC 27713
Phone (919) 544-1300

Practitioners & affiliated clinicians

Practitioners 5

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1639401268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR",
            "address_2": "SUITE 214",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-544-1300",
            "fax_number": "919-544-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR",
            "address_2": "SUITE 214",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-544-1300",
            "fax_number": "919-544-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA COUNSELING & SUPPORT SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-544-1300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC,LCAS,  NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1884",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006982",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.