Organization Active NPI

Under the Willow Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1922521590
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNDER THE WILLOW COUNSELING
Practice address
8410 Six Forks Rd Ste 203
Raleigh, NC 27615-3078
Phone
(919) 438-1756
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Cristina Snipes, LCSW
Title
Owner
Phone
(919) 438-1756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8410 Six Forks Rd Ste 203
Raleigh, NC 27615-3078

Mailing address

8004 Strawberry Meadows St
Raleigh, NC 27613-1043
Phone (919) 819-5735

Other identifiers 1

IdentifierTypeStateIssuer
1952715021MedicaidNC

National Provider Directory

National Provider Directory

Locations

8410 Six Forks Rd
Ste 203
Raleigh, NC 27615
Phone (910) 830-0407

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1922521590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 STRAWBERRY MEADOWS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131043",
            "telephone_number": "919-819-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 SIX FORKS RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153078",
            "telephone_number": "919-438-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER THE WILLOW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-438-1756",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952715021",
            "state": "NC"
        }
    ],
    "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 25, 2017; 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.