Vanderhall Counseling Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S3910 Issued in NC

Legal business name

VANDERHALL COUNSELING SERVICES, PLLC

Practice address

1122 Sam Newell Rd
Suite 105
Matthews, NC 28105-5015

Phone

(704) 995-6279

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Carolyn Vanderhall

Title

LPCS/Owner

Phone

(704) 995-6279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1972849065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD",
            "address_2": "SUITE 105",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055015",
            "telephone_number": "866-598-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD",
            "address_2": "SUITE 105",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055015",
            "telephone_number": "704-995-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERHALL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "VANDERHALL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "LPCS/OWNER",
        "authorized_official_telephone_number": "704-995-6279"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Valdez
• Mallory Valverde, LCSW
• Cody Zarek Van Natter, D.C.
• Madison Van Natter, RD
• Katie Vandenberge, OTR/L
• Ronald Vandernoord, MD
• Kaylee Anne Vandommelen, MD MPH
• Heather Vankoughnett, LCMHC, NCC
• Siddhartha Varma, M.D.
• Moira Casten Vaughn, PA-C

• Professional Counselor in Matthews, NC
• Providers in Matthews, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.