NPIMap

Organization Active NPI

Perkins Counseling and Psychological Services, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1750641213
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4257 Issued in NC
Legal business name
PERKINS COUNSELING AND PSYCHOLOGICAL SERVICES, PLLC
Practice address
10580 Ligon Mill Road
Suite 210
Wake Forest, NC 27587
Phone
(919) 263-9592
Fax
(919) 263-9670
NPI assigned
May 17, 2012
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Mrs. Stacey Dyjewski, LCMHCSNPI 1912322561
Title
Owner/Member
Phone
(919) 263-9592

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 4257 NC Primary

Addresses

Primary practice location

10580 Ligon Mill Road
Suite 210
Wake Forest, NC 27587

Mailing address

10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000248 NC Part B Supplier - Clinic/Group Practice 6800052234 Receives reassigned benefits from 19 practitioners
Practice locations: Wake Forest, NC

National Provider Directory

National Provider Directory

Locations

10580 Ligon Mill Rd
#210
Wake Forest, NC 27587
Phone (919) 263-9592

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1750641213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 LIGON MILL RD STE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-263-9592",
            "fax_number": "919-263-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 LIGON MILL ROAD",
            "address_2": "SUITE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-263-9592",
            "fax_number": "919-263-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS COUNSELING AND PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "DYJEWSKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "919-263-9592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.