Organization Active NPI

Nourish Carolina Counseling

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1952994170
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOURISH CAROLINA COUNSELING
Practice address
9204 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-2479
Phone
(919) 752-3666
Fax
(919) 289-1757
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Jessica Cuttance, LCMHCNPI 1801240544
Title
Co-Owner
Phone
(919) 752-3666

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9204 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-2479

Mailing address

9204 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-2479
Phone (919) 752-3666

National Provider Directory

National Provider Directory

Locations

9204 Falls of Neuse Rd
Ste 100
Raleigh, NC 27615
Phone (919) 752-3666

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1952994170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-752-3666",
            "fax_number": "919-289-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-752-3666",
            "fax_number": "919-289-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH CAROLINA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "CUTTANCE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-752-3666",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Feb 18, 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.