Organization Active NPI

Crowned Life Counseling Center PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1649809849
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CROWNED LIFE COUNSELING CENTER PLLC
Practice address
4920 Windy Hill Dr Ste a
Raleigh, NC 27609-5194
Phone
(757) 831-1560
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Tiara Afrodite Nichole Griffis, LCMHCANPI 1972132173
Title
Psychotherapist
Phone
(757) 831-1560

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

4920 Windy Hill Dr Ste a
Raleigh, NC 27609-5194

Mailing address

4920 Windy Hill Dr Ste a
Raleigh, NC 27609-5194
Phone (757) 831-1560

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1649809849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 WINDY HILL DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095194",
            "telephone_number": "757-831-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 WINDY HILL DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095194",
            "telephone_number": "757-831-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNED LIFE COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "TIARA",
        "authorized_official_middle_name": "AFRODITE NICHOLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "757-831-1560",
        "authorized_official_credential": "LCMHCA"
    },
    "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 Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.