Organization Active NPI

Oak Heart Counseling PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1851799233
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005987 Issued in NC
Legal business name
OAK HEART COUNSELING PLLC
Practice address
1057 Bullard CT
Suite B
Raleigh, NC 27615-6801
Phone
(919) 855-1156
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mrs. Jessica Ann Frawley, LCSWNPI 1619153764
Title
Owner
Phone
(919) 841-2592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C005987 NC Primary

Addresses

Primary practice location

1057 Bullard CT
Suite B
Raleigh, NC 27615-6801

Mailing address

5405 Royal Troon Dr
Raleigh, NC 27604-5885
Phone (919) 841-2592

Other identifiers 1

IdentifierTypeStateIssuer
6106911MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151207002492 NC Part B Supplier - Clinic/Group Practice 6901106327 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

5868 Faringdon Pl
Ste 16
Raleigh, NC 27609

1057 Bullard Ct
#B
Raleigh, NC 27615
Phone (919) 767-1618

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1851799233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ROYAL TROON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045885",
            "telephone_number": "919-841-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BULLARD CT",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156801",
            "telephone_number": "919-855-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HEART COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FRAWLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-841-2592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.