Organization Active NPI

Infinite Therapy & Wellness, PLLC

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1932865151
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INFINITE THERAPY & WELLNESS, PLLC
Practice address
405 Nash St W Ste 208
Wilson, NC 27893-3761
Phone
(252) 360-0804
Fax
(252) 512-4472
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Ms. Tonya Rhodes, LCSWNPI 1265827455
Title
Owner
Phone
(252) 230-9489

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

405 Nash St W Ste 208
Wilson, NC 27893-3761

Mailing address

405 Nash St W Ste 208
Wilson, NC 27893-3761
Phone (252) 360-0804

Other identifiers 1

IdentifierTypeStateIssuer
1265827455OtherNCNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://itaw.mytheranest.com/home/login Other

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.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1932865151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NASH ST W STE 208",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933761",
            "telephone_number": "252-360-0804",
            "fax_number": "252-512-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NASH ST W STE 208",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933761",
            "telephone_number": "252-360-0804",
            "fax_number": "252-512-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE THERAPY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-230-9489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265827455",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://itaw.mytheranest.com/home/login",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Infinite Therapy & Wellness, PLLC",
            "address_1": "405 Nash St W Ste 208",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278933761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.