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WILMINGTON HEALTH ACCESS FOR TEENS
NPI 1033245709
Counselor - Mental Health in Wilmington, NC

Active since February 26, 2007CLIA 34D0923036 · Microscopy
4005 OLEANDER DR, WILMINGTON, NC 28403(910) 790-9949(910) 790-9455 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilmington Health Access For Teens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILMINGTON HEALTH ACCESS FOR TEENS (NPI 1033245709) is a healthcare organization registered as a mental health in Wilmington, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through December 12, 2026 and lists Maria Van De Bovenkamp, Medical Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1033245709
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILMINGTON HEALTH ACCESS FOR TEENS
Location Address4005 OLEANDER DRWilmington, NC 28403-6816
Mailing Address4005 Oleander DrWilmington, NC 28403-6816 · (910) 790-9949 · Fax (910) 790-9455
Phone(910) 790-9949
Fax(910) 790-9455
Organization SubpartNo
Authorized OfficialMaria Van De BovenkampMedical Office Administrator · (910) 790-9949
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033245709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 6005437
4005 OLEANDER DR, Wilmington, NC 28403
Open in Google Maps ↗

Other Identifiers 1

Medicaid6005437NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0923036

Wilmington Health Access For Teens Of Coastal Horizons · Wilmington, NC
Active · expires Dec 12, 2026
CLIA Number34D0923036
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorJennifer M. Nomides
Laboratory Phone(910) 790-9949
Laboratory LocationWilmington Health Access For Teens Of Coastal Horizons1414 Medical Center Dr, Wilmington, NC 28401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY EDEN AVERY LCSWA
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MRS. AMY SUE VALIMONT LCSW
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MRS. LAURA THERESA NOEL LCSW
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
DORIS KING MD
Pediatrics (Adolescent Medicine)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MS. ALLISON LINSEY PORTER LDN, RDN
Dietitian, Registered
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MS. KELLI RENEE KELDERHOUSE FNP
Family Medicine (Adolescent Medicine)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MELANY TARR LCSW
Counselor (Mental Health)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
ANDREA MORGAN FORMYDUVAL LEWIS FNP
Nurse Practitioner (Family)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilmington Health Access For Teens's NPI number?

The NPI number for Wilmington Health Access For Teens is 1033245709. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Wilmington Health Access For Teens located?

Wilmington Health Access For Teens is located at 4005 Oleander Dr, Wilmington, NC 28403. The listed phone number is (910) 790-9949.

What is Wilmington Health Access For Teens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Wilmington Health Access For Teens hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0923036) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilmington Health Access For Teens was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.