Organization Active NPI

Adullam Counseling Services, PLLC

  • Mental Health Counselor
  • Kinston, NC
National Provider Identifier
1710699442
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADULLAM COUNSELING SERVICES, PLLC
Practice address
2906 Hull Rd
Kinston, NC 28504-8238
Phone
(252) 582-0504
Fax
(252) 351-0343
NPI assigned
Dec 13, 2022
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mr. Efcel Aaron Velez, LCMHCNPI 1588153621
Title
Member/Organizer
Phone
(605) 415-5311

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2906 Hull Rd
Kinston, NC 28504-8238

Mailing address

106 W Raintree LN
Goldsboro, NC 27534-7362
Phone (605) 415-5311

Other identifiers 1

IdentifierTypeStateIssuer
1588153621MedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240316000207 NC Part B Supplier - Clinic/Group Practice 2769828441 Receives reassigned benefits from 1 practitioner
Practice locations: Goldsboro, NC; Kinston, NC

National Provider Directory

National Provider Directory

Locations

201 N Spence Ave
Ste 304
Goldsboro, NC 27534
Phone (252) 582-0504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1710699442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W RAINTREE LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347362",
            "telephone_number": "605-415-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 HULL RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048238",
            "telephone_number": "252-582-0504",
            "fax_number": "252-351-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULLAM COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "EFCEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "605-415-5311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588153621",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.