Organization Active NPI

The Centre for Healing and Enlightenment

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1902790546
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE CENTRE FOR HEALING AND ENLIGHTENMENT
Practice address
4030 Wake Forest Rd # 349
Raleigh, NC 27609-0010
Phone
(773) 242-9333
NPI assigned
Jun 6, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Mr. Dereck Alexander, LCSW-SNPI 1134888019
Title
Licensed Clinical Social Work Super
Phone
(773) 242-9333

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 Worker 1041C0700X Primary

Addresses

Primary practice location

4030 Wake Forest Rd # 349
Raleigh, NC 27609-0010

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (773) 242-9333

National Provider Directory

National Provider Directory

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": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1902790546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "773-242-9333",
            "fax_number": "773-242-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD # 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "773-242-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE FOR HEALING AND ENLIGHTENMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DERECK",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORK SUPER",
        "authorized_official_telephone_number": "773-242-9333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 1, 2025; 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.