NPIMap

Organization Active NPI

Dynamic Resources & Guidance Inc

Doing business as DRG Counseling

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1689957904
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004940 Issued in NC
Legal business name
DYNAMIC RESOURCES & GUIDANCE INC
Doing business as
DRG Counseling
Practice address
5720 Creedmoor Rd
Suite 201
Raleigh, NC 27612-2256
Phone
(919) 977-6018
Fax
(919) 300-7471
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Mrs. Anju Verma, LCSWNPI 1356510044
Title
Executive Director
Phone
(919) 946-5852

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C004940 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5720 Creedmoor Rd
Suite 201
Raleigh, NC 27612-2256

Mailing address

5720 Creedmoor Rd
Suite 201
Raleigh, NC 27612-2256
Phone (919) 977-6018

Other identifiers 2

IdentifierTypeStateIssuer
6008810MedicaidNC
6106941MedicaidNC

Other names 1

  • DRG Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130610000024 NC Part B Supplier - Clinic/Group Practice 9931347622 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

5720 Creedmoor Rd
Ste 201
Raleigh, NC 27612
Phone (919) 946-5852

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1689957904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-977-6018",
            "fax_number": "919-300-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-977-6018",
            "fax_number": "919-300-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RESOURCES & GUIDANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-946-5852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004940",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008810",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRG Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRG Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2022; 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.