Active NPI
Women, Children & Family Counseling Services PLLC
- Professional Counselor
- Henderson, NC
National Provider Identifier
1821460437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4929
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103107 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.