NPIMap

Organization Active NPI

Heritage Counseling and Wellness, PLLC

  • Professional Counselor
  • Coats, NC
National Provider Identifier
1962005918
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HERITAGE COUNSELING AND WELLNESS, PLLC
Practice address
1134 Old Stage Rd N
Coats, NC 27521-9167
Phone
(910) 984-5030
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Jaspera Victoria Butler, LCMHCANPI 1649664863
Title
Owner
Phone
(910) 984-5030

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1134 Old Stage Rd N
Coats, NC 27521-9167

Mailing address

1134 Old Stage Rd N
Coats, NC 27521-9167
Phone (910) 984-5030

National Provider Directory

National Provider Directory

Locations

215 Fish Dr
Angier, NC 27501
Phone (910) 240-4599

Practitioners & affiliated clinicians

Practitioners 7

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": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1962005918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 OLD STAGE RD N",
            "city": "COATS",
            "state": "NC",
            "postal_code": "275219167",
            "telephone_number": "910-984-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 OLD STAGE RD N",
            "city": "COATS",
            "state": "NC",
            "postal_code": "275219167",
            "telephone_number": "910-984-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JASPERA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-984-5030",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coats, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.