Organization Active NPI

NC Psychotherapy Services, PLLC

  • Clinical Social Worker
  • Knightdale, NC
National Provider Identifier
1679379556
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NC PSYCHOTHERAPY SERVICES, PLLC
Practice address
100 S Smithfield Rd
Knightdale, NC 27545-7781
Phone
(919) 630-8252
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Matthew Jennings, LCSWNPI 1588970040
Title
Therapist/Owner
Phone
(919) 630-8252

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 S Smithfield Rd
Knightdale, NC 27545-7781

Mailing address

100 S Smithfield Rd
Knightdale, NC 27545-7781

National Provider Directory

National Provider Directory

Locations

100 S Smithfield Rd
Knightdale, NC 27545
Phone (919) 295-1116

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": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1679379556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SMITHFIELD RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SMITHFIELD RD",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457781",
            "telephone_number": "919-630-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC PSYCHOTHERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "919-630-8252",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.