Organization Active NPI

Lewis Consulting Services, PA

  • Psychologist
  • Raleigh, NC
National Provider Identifier
1740401033
Registry record updated Aug 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2866 Issued in NC
Legal business name
LEWIS CONSULTING SERVICES, PA
Doing business as
Wake Psychological Health and Wellness
Practice address
4917 Waters Edge Dr Ste 220
Raleigh, NC 27606
Phone
(919) 622-1303
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2018

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

Authorized official

Name
Dr. Theresa O Lewis, PH.D.NPI 1437334067
Title
Psychologist
Phone
(919) 622-1303

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2866 NC Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 2866 NC

Addresses

Primary practice location

4917 Waters Edge Dr Ste 220
Raleigh, NC 27606

Mailing address

PO Box 1955
Cary, NC 27512-1955
Phone (919) 622-1303

Other identifiers 1

IdentifierTypeStateIssuer
017KYOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Wake Psychological Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4917 Waters Edge Dr
Ste 220
Raleigh, NC 27606
Phone (704) 622-1303

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535241600000",
    "number": "1740401033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1955",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275121955",
            "telephone_number": "919-622-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WATERS EDGE DR STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "919-622-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CONSULTING SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-08-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-622-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2866",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "2866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017KY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Psychological Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.