Active NPI
Resilient Journeys, PLLC
- Clinical Social Worker
- Hendersonville, NC
National Provider Identifier
1710245543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005794
- Legal business name
- RESILIENT JOURNEYS, PLLC
- Practice address
- 220 3Rd Ave W Ste a
Hendersonville, NC 28739-4331 - Phone
- (828) 376-0055
- Fax
- (828) 376-0155
- NPI assigned
- Apr 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maria S. White, LCSW/LCAS
- Title
- Owner/Therapist
- Phone
- (828) 376-0055
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1752 | NC | |
| Clinical Social Worker | 1041C0700X | C005794 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | C005794 | NC |
Addresses
Primary practice location
220 3Rd Ave W Ste a
Hendersonville, NC 28739-4331
Mailing address
PO Box 1426
Hendersonville, NC 28793-1426
Phone (828) 376-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007035 | Medicaid | NC | |
| 6008855 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120724000422 | NC | Part B Supplier - Clinic/Group Practice | 3870759616 |
Receives reassigned benefits from 1 practitioner Practice locations: Hendersonville, NC |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hendersonville, NC
- NPI 1295982502
Addiction (Substance Use Disorder), NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1710245543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1426",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287931426",
"telephone_number": "828-376-0055",
"fax_number": "828-376-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 3RD AVE W STE A",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287394331",
"telephone_number": "828-376-0055",
"fax_number": "828-376-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT JOURNEYS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "828-376-0055",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW/LCAS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1752",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005794",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "C005794",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007035",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008855",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.