Individual provider Active NPI

Valorie Willems

  • Marriage & Family Therapist
  • Concord, NC
National Provider Identifier
1851813331
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2154 Issued in NC
Practice address
325 McGill Ave NW Ste 506
Concord, NC 28027-6199
Phone
(704) 292-6428
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24091 NC
Marriage & Family Therapist 106H00000X 2154 NC Primary

Addresses

Primary practice location

325 McGill Ave NW Ste 506
Concord, NC 28027-6199

Mailing address

325 McGill Ave NW Ste 506
Concord, NC 28027-6199
Phone (704) 292-6428

Other practice location 1

401 Groff St NW
Concord, NC 28027-0758
Phone (704) 241-9746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24091NCMDAddiction (Substance Use Disorder) Counselor
2154NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Counseling Services, PLLC Marriage & Family Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

325 McGill Ave NW
Ste 519
Concord, NC 28027
Phone (704) 292-6428

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1851813331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MCGILL AVE NW STE 506",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276199",
            "telephone_number": "704-292-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MCGILL AVE NW STE 506",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276199",
            "telephone_number": "704-292-6428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Groff St NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280270758",
            "country_code": "US",
            "telephone_number": "704-241-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "VALORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24091",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.