Organization Active NPI

House of Wellness PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1871336578
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOUSE OF WELLNESS PLLC
Practice address
4804 Page Creek LN
Durham, NC 27703-8582
Phone
(984) 789-6961
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Samuel PerkinsNPI 1427714492
Title
Lcmhc
Phone
(984) 789-6961

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4804 Page Creek LN
Durham, NC 27703-8582

Mailing address

4804 Page Creek LN
Durham, NC 27703-8582

National Provider Directory

National Provider Directory

Locations

4804 Page Creek Ln
Durham, NC 27703
Phone (919) 578-3285

Practitioners & affiliated clinicians

Practitioners 1

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1871336578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 PAGE CREEK LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 PAGE CREEK LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038582",
            "telephone_number": "984-789-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "LCMHC",
        "authorized_official_telephone_number": "984-789-6961"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.