NPIMap

Organization Active NPI

Carolina Counseling Specialists, PLLC

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1891008405
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5092 Issued in NC
Legal business name
CAROLINA COUNSELING SPECIALISTS, PLLC
Practice address
316 W Millbrook Rd
Suite 101
Raleigh, NC 27609-4478
Phone
(919) 345-8965
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mrs. Jennifer Ford Kelly, M. ED., ED. S, LPCNPI 1033140504
Title
Member/Manager/Counselor
Phone
(919) 345-8965

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5092 NC Primary

Addresses

Primary practice location

316 W Millbrook Rd
Suite 101
Raleigh, NC 27609-4478

Mailing address

316 W Millbrook Rd
Suite 101
Raleigh, NC 27609-4478
Phone (919) 345-8965

National Provider Directory

National Provider Directory

Locations

316 W Millbrook Rd
Ste 101
Raleigh, NC 27609
Phone (919) 345-8965

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1891008405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W MILLBROOK RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094478",
            "telephone_number": "919-345-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MILLBROOK RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094478",
            "telephone_number": "919-345-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELING SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "MEMBER/MANAGER/COUNSELOR",
        "authorized_official_telephone_number": "919-345-8965",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED., ED. S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5092",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 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.