Organization Active NPI

Carolina Gero-Psych Management, LLC

  • Clinical Social Worker
  • Morrisville, NC
National Provider Identifier
1881901403
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAROLINA GERO-PSYCH MANAGEMENT, LLC
Doing business as
Welcare Counseling Services, LLC
Practice address
2101 Gateway Centre Blvd
Suite 100
Morrisville, NC 27560-6214
Phone
(919) 467-2433
Fax
(919) 467-4903
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Yvette Ross
Title
Provider Enrollment Specialist
Phone
(919) 256-0824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NC Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NC

Addresses

Primary practice location

2101 Gateway Centre Blvd
Suite 100
Morrisville, NC 27560-6214

Mailing address

3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824

Other names 1

  • Welcare Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2101 Gateway Centre Blvd
Ste 100
Morrisville, NC 27560
Phone (877) 749-4993

5301 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 256-0824

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1881901403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FAIRHILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123215",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GATEWAY CENTRE BLVD",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606214",
            "telephone_number": "919-467-2433",
            "fax_number": "919-467-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GERO-PSYCH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "919-256-0824"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcare Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.