Soul Collaborative Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUL COLLABORATIVE COUNSELING, PLLC

Practice address

1126 Schaub Dr BLDG 1000
Raleigh, NC 27606-1806

Phone

(919) 438-1061

Fax

(984) 307-0111

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Rose S Jerome, LCMHC

Title

Owner/Provider

Phone

(919) 438-1061

Specialties & licenses 1

Addresses

Other names 2

• Rose S Jerome Doing business as
• Soul Collaborative Counseling, pllc Doing business as

Locations

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1982487609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 DANIELS STREET",
            "address_2": "PO BOX 143",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27605",
            "telephone_number": "919-438-1061",
            "fax_number": "984-307-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SCHAUB DR BLDG 1000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061806",
            "telephone_number": "919-438-1061",
            "fax_number": "984-307-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL COLLABORATIVE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-438-1061",
        "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": [
        {
            "organization_name": "Rose S Jerome",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soul Collaborative Counseling, pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Effua Erica Sosoo, PHD
• Heidi Soto Holgate, LCSW-A
• Elizabeth M Soto, LCSW
• Sharon B Soucy, LCMHC
• Oviya Sougoumarane
• Soul of a Woman
• Soul of a Woman Support Services
• South Atlantic Speech, PLLC
• South Eastern Medical Suplies,Inc
• Southeast Family Services of Raleigh

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Aug 23, 2023; 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.