Active NPI
Uniquelyu Counseling
- Mental Health Counselor
- Knightdale, NC
National Provider Identifier
1760021166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- UNIQUELYU COUNSELING
- Practice address
- 4033 Village Park Dr 1047
Knightdale, NC 27545-6622 - Phone
- (816) 866-0373
- NPI assigned
- Jan 2, 2020
- 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
- Ms. Liana K Nelson, LPC, LCMHC, SATP
- Title
- Psychotherapist
- Phone
- (816) 866-0373
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4033 Village Park Dr 1047
Knightdale, NC 27545-6622
Mailing address
4033 Village Park Dr 1047
Knightdale, NC 27545
Phone (816) 866-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5643966 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
311 New Bern Ave
#25471
Raleigh, NC 27601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1760021166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 VILLAGE PARK DR 1047",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "27545",
"telephone_number": "816-866-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 VILLAGE PARK DR 1047",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456622",
"telephone_number": "816-866-0373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUELYU COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "LIANA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "816-866-0373",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, LCMHC, SATP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5643966",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.