Lange Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4248 Issued in NC

Legal business name

LANGE WELLNESS, PLLC

Practice address

1508 Military Cutoff Rd
Suite 205
Wilmington, NC 28403-5730

Phone

(910) 232-6523

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Kim Lange, LCMHCNPI 1407842495

Title

Owner

Phone

(910) 515-7021

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kim Lange, LCMHC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1407842495
  NPD Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1780944850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CAUSEWAY DR #358",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "28480",
            "telephone_number": "910-232-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MILITARY CUTOFF RD",
            "address_2": "SUITE 205",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035730",
            "telephone_number": "910-232-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-515-7021",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lane
• Stella Devon Lane
• Victoria Maria Lane
• Laney Wellness Center
• Margaret E Lang Houser, MD
• Kim Lange, LCMHC
• Mary Ellen Langford, C.R.N.P.
• Evan Langley, PT, DPT
• Tina Maria Langley, DO
• Anisha Langston

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.