Avalon Counseling Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003783 Issued in NC

Legal business name

AVALON COUNSELING CENTER, PLLC

Practice address

1230 SE Maynard Rd Ste 204
Cary, NC 27511-6945

Phone

(919) 468-9122

Fax

(919) 468-9122

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Orr Belk, LCSWNPI 1720139439

Title

Manager

Phone

(919) 468-9122

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Kelly Orr Belk, LCSW

  • Clinical Social Worker
  • Cary, NC
  • NPI 1720139439
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1699809301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-468-9122",
            "fax_number": "919-468-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-468-9122",
            "fax_number": "919-468-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BELK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ORR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-468-9122",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PREFERRED",
            "identifier": "A8774",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "014WR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005211",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NC HEALTH PLAN",
            "identifier": "014WR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.