Ubuntu Holistic Counseling & Consulting PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UBUNTU HOLISTIC COUNSELING & CONSULTING PLLC

Practice address

1006 Houndscroft Rd
Indian Trail, NC 28079-8814

Phone

(980) 263-9393

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Jonathan P Williams, LCMHCNPI 1700410024

Title

Owner/Licensed Counselor

Phone

(980) 263-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan P Williams, LCMHC

  • Mental Health Counselor
  • Indian Trail, NC
  • NPI 1700410024
  NPD Authorized official
• Kellyne Williams, LCSW-A

  • Clinical Social Worker
  • Indian Trail, NC
  • NPI 1679255863
  NPD
• Ashley Monique Simmons

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1982428868
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1659005841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HOUNDSCROFT RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798814",
            "telephone_number": "980-263-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HOUNDSCROFT RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798814",
            "telephone_number": "980-263-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBUNTU HOLISTIC COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/LICENSED COUNSELOR",
        "authorized_official_telephone_number": "980-263-9393",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00386019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Ryan Tiberia
• Marleen Prychodko Traywick, FNP
• Wendy Jackson Truesdale, RPH
• George S. C. Tsai, M. D.
• Timothy Jerone Turner, DO
• Union Health Services, LLC
• Union Health Services, LLC
• Union Physicians Network Inc
• Union Physicians Network Inc
• Union Physicians Network Inc

• Mental Health Counselor in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.