Organization Active NPI

Women, Children & Family Counseling Services PLLC

  • Professional Counselor
  • Henderson, NC
National Provider Identifier
1821460437
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4929 Issued in NC
Legal business name
WOMEN, CHILDREN & FAMILY COUNSELING SERVICES PLLC
Practice address
804 S Garnett St
Henderson, NC 27536-4571
Phone
(252) 395-5158
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mrs. Shander Meadows, MA,LPCS
Title
Ceo/Clinician
Phone
(252) 395-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4929 NC Primary

Addresses

Primary practice location

804 S Garnett St
Henderson, NC 27536-4571

Mailing address

3 Triple Crown PL
Bahama, NC 27503-9616
Phone (252) 395-5158

Other identifiers 1

IdentifierTypeStateIssuer
6103107MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1821460437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TRIPLE CROWN PL",
            "city": "BAHAMA",
            "state": "NC",
            "postal_code": "275039616",
            "telephone_number": "252-395-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364571",
            "telephone_number": "252-395-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN, CHILDREN & FAMILY COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "SHANDER",
        "authorized_official_title_or_position": "CEO/CLINICIAN",
        "authorized_official_telephone_number": "252-395-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103107",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.