Organization Active NPI

Courageous Counseling & Wellness, PLLC

  • Community/Behavioral Health Agency
  • Hubert, NC
National Provider Identifier
1730787367
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COURAGEOUS COUNSELING & WELLNESS, PLLC
Practice address
440 Dion Dr
Hubert, NC 28539-4535
Phone
(910) 545-2142
NPI assigned
Oct 15, 2020
Last updated
Oct 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Authorized official

Name
Derek PrescottNPI 1962905315
Title
Owner/Member
Phone
(910) 238-9233

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

440 Dion Dr
Hubert, NC 28539-4535

Mailing address

440 Dion Dr
Hubert, NC 28539-4535
Phone (910) 545-2142

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1730787367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 DION DR",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394535",
            "telephone_number": "910-545-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 DION DR",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394535",
            "telephone_number": "910-545-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "910-238-9233"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubert, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.