Organization Active NPI

Uniquelyu Counseling

  • Mental Health Counselor
  • Knightdale, NC
National Provider Identifier
1760021166
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 26, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5643966OtherAETNA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.