Julie Theriault, M.A., NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A10902 Issued in NC

Practice address

110 Raleigh St
Fuquay Varina, NC 27526-2227

Phone

(919) 285-4963

NPI assigned

Dec 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Discovery Counseling and Wellness

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1538313499
  NPD (past)

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

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1982002515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 KINGMAN DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RALEIGH ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262227",
            "telephone_number": "919-285-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "JULIE",
        "credential": "M.A., NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.