Active NPI
Adullam Counseling Services, PLLC
- Mental Health Counselor
- Kinston, NC
National Provider Identifier
1710699442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2024
- 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
- Mr. Efcel Aaron Velez, LCMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588153621 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Kinston, NC
- NPI 1588153621
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
- Khalil Abulatifa, MD
- Sufyan Abulatifa
- Abundance Life Health Care Services Inc
- Haritha Ackula, MBBS
- Addus Healthcare (North Carolina), Inc (Addus HomeCare)
- Advance Behav Ioral Health Services Inc.
- Advance Behavioral Health Services Inc
- Advance Behavioral Health Services Inc.
- Victor Agbai
- Joseph Edwards Agsten, M.D.
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.