Organization Active NPI

Wellness Innovations Healthcare Solutions

  • Developmental Therapist
  • Wake Forest, NC
National Provider Identifier
1962845958
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
WELLNESS INNOVATIONS HEALTHCARE SOLUTIONS
Practice address
3650 Rogers Rd
Suite 177
Wake Forest, NC 27587-9306
Phone
(919) 522-2508
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dorothy Porter, LCASA
Title
Officer
Phone
(919) 522-2508

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

3650 Rogers Rd
Suite 177
Wake Forest, NC 27587-9306

Mailing address

3650 Rogers Rd
Suite 177
Wake Forest, NC 27587-9306
Phone (919) 522-2508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1962845958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 ROGERS RD",
            "address_2": "SUITE 177",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879306",
            "telephone_number": "919-522-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 ROGERS RD",
            "address_2": "SUITE 177",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879306",
            "telephone_number": "919-522-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INNOVATIONS HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "919-522-2508",
        "authorized_official_credential": "LCASA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.