The Wolf's Refuge: Counseling and Healing Services PLLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE WOLF'S REFUGE: COUNSELING AND HEALING SERVICES PLLC.

Practice address

6020 W Pine St
Mount Airy, NC 27030-6184

Phone

(336) 482-7858

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jessie Cockerham, LCSWANPI 1326617374

Title

Owner

Phone

(336) 482-7858

Specialties & licenses 1

Addresses

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.

• Jessie Cockerham, LCSW-A

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1326617374
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1902512916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PINE ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270306184",
            "telephone_number": "336-482-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PINE ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270306184",
            "telephone_number": "336-482-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOLF'S REFUGE: COUNSELING AND HEALING SERVICES PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "COCKERHAM",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-482-7858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Calming Center of Mount Airy
• The Mental Health Association in North Carolina, Inc (Surry PSR)
• The Mental Health Association in North Carolina, Inc (Surry PSR)
• The Mental Health Association in North Carolina, Inc. (Willow Brook)
• The Optical Place, Inc.
• Therapeutic Alternatives Inc
• Therapeutic Alternatives Inc
• Therapeutic Alternatives Inc
• Thomas R Jackson DDS PA
• Cecil Koshey Thoppil, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.