Reflective Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008341 Issued in NC

Legal business name

REFLECTIVE COUNSELING SERVICES, PLLC

Practice address

1195 Shining Water LN
Creedmoor, NC 27522-7243

Phone

(984) 209-0303

NPI assigned

Jun 20, 2018

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanta Lavette JohnsonNPI 1023569613

Title

Owner

Phone

(984) 209-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Shanta Johnson, LCSW

  • Clinical Social Worker
  • Creedmoor, NC
  • NPI 1023569613
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1679067995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275220903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 SHINING WATER LN",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227243",
            "telephone_number": "984-209-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-209-0303"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Creedmoor, NC
• Providers in Creedmoor, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.