NPIMap

Organization Active NPI

Supportive Counseling Services, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1699132357
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008152 Issued in NC
Legal business name
SUPPORTIVE COUNSELING SERVICES, PLLC
Practice address
14 Consultant PL
Suite 210 a
Durham, NC 27707-6320
Phone
(919) 358-1471
Fax
(919) 287-2556
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Samir Hanef, MSW, LCSW, LISWCPNPI 1952686735
Title
Owner/Member
Phone
(919) 358-1471

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2759A NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C008152 NC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 11344 SC

Addresses

Primary practice location

14 Consultant PL
Suite 210 a
Durham, NC 27707-6320

Mailing address

14 Consultant PL
Suite 210 a
Durham, NC 27707-6320
Phone (919) 358-1471

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.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1699132357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CONSULTANT PL",
            "address_2": "SUITE 210 A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076320",
            "telephone_number": "919-358-1471",
            "fax_number": "919-287-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CONSULTANT PL",
            "address_2": "SUITE 210 A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076320",
            "telephone_number": "919-358-1471",
            "fax_number": "919-287-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "HANEF",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "919-358-1471",
        "authorized_official_credential": "MSW, LCSW, LISWCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2759A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008152",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.