Organization Active NPI

Richwood Consulting Group PLLC

Doing business as Counseling for Kids and Teens

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1871736058
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003403 Issued in NC
Legal business name
RICHWOOD CONSULTING GROUP PLLC
Doing business as
Counseling for Kids and Teens
Practice address
839C Wake Forest Business Park
Suite C Durham Hwy
Wake Forest, NC 27587-6561
Phone
(919) 801-0337
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Suzanne Marie Brady, LCSWNPI 1891838587
Title
Organizer and Member
Phone
(919) 801-0337

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 C003403 NC Primary

Addresses

Primary practice location

839C Wake Forest Business Park
Suite C Durham Hwy
Wake Forest, NC 27587-6561

Mailing address

3901 Toyon Dr
Raleigh, NC 27616-8600
Phone (919) 801-0337

Other identifiers 1

IdentifierTypeStateIssuer
6002510MedicaidNC

Other names 1

  • Counseling for Kids and Teens Doing business as

National Provider Directory

National Provider Directory

Locations

839C Wake Forest Business Park
Ste C
Wake Forest, NC 27587
Phone (919) 801-0337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1871736058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 TOYON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168600",
            "telephone_number": "919-801-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839C WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE C DURHAM HWY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876561",
            "telephone_number": "919-801-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHWOOD CONSULTING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ORGANIZER AND MEMBER",
        "authorized_official_telephone_number": "919-801-0337",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002510",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling for Kids and Teens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.