4.1.7 COUNSELING, PLLC
NPI 1104783612
Counselor - Mental Health in Washington, NC

Active since January 06, 2026
417 N BRIDGE ST, WASHINGTON, NC 27889(252) 481-1007 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 4.1.7 Counseling, Pllc NPPES

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

4.1.7 COUNSELING, PLLC (NPI 1104783612) is a healthcare organization registered as a mental health in Washington, North Carolina and active in the NPI registry since January 2026. The organization maintains 2 additional practice locations and lists Anthony Tyre, Director, as its authorized official.

NPPES Registry Identity

NPI1104783612
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business Name4.1.7 COUNSELING, PLLC
Location Address417 N BRIDGE STWashington, NC 27889-4827
Mailing Address3231 Idalia RdAurora, NC 27806-9525 · (252) 481-1007
Organization SubpartNo
Authorized OfficialAnthony TyreDirector · (252) 481-1007
Enumeration DateJanuary 6, 2026
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1104783612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
417 N BRIDGE ST, Washington, NC 27889

Secondary Practice Locations 2

Location 13231 Idalia RdAurora, NC 27806-9525 · Phone (252) 481-1007
Location 2151 W Main St Apt 202Washington, NC 27889-5266 · Phone (252) 481-1007

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
417 N BRIDGE ST
WASHINGTON, NC 27889
Counselor (Mental Health)
417 N BRIDGE ST
WASHINGTON, NC 27889

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 4.1.7 Counseling, PLLC's NPI number?

The NPI number for 4.1.7 Counseling, PLLC is 1104783612. It was assigned to this organization in the NPPES registry on January 6, 2026.

Where is 4.1.7 Counseling, PLLC located?

4.1.7 Counseling, PLLC is located at 417 N Bridge St, Washington, NC 27889. The listed phone number is (252) 481-1007.

What is 4.1.7 Counseling, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 4.1.7 Counseling, PLLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.