SOUTHERN WAKE COUNSELING CENTER
NPI 1356596720
Counselor - Mental Health in Fuquay Varina, NC

Active since November 26, 2008
1880 N BROAD ST, FUQUAY VARINA, NC 27526(919) 557-8222(919) 557-8223 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Dec 14, 2024 (2 updates tracked since 2024).

About Southern Wake Counseling Center NPPES

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

SOUTHERN WAKE COUNSELING CENTER (NPI 1356596720) is a healthcare organization registered as a mental health in Fuquay Varina, North Carolina and active in the NPI registry since November 2008. The organization lists Claudine Bernice Langdon, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1356596720
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUTHERN WAKE COUNSELING CENTER
Location Address1880 N BROAD STFuquay Varina, NC 27526-3657
Mailing Address1880 N Broad StFuquay Varina, NC 27526-3657 · (919) 557-8222 · Fax (919) 557-8223
Fax(919) 557-8223
Organization SubpartNo
Authorized OfficialClaudine Bernice LangdonClinical Director · (919) 557-8222
Enumeration DateNovember 26, 2008
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1356596720 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 · 6827
1880 N BROAD ST, Fuquay Varina, NC 27526

Other Identifiers 1

Medicaid6103792NC

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Wake Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Wake Counseling Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1306020870
1880 N BROAD ST
Fuquay Varina, NC 27526
(919) 557-8222
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Wake Counseling Center's NPI number?

The NPI number for Southern Wake Counseling Center is 1356596720. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Southern Wake Counseling Center located?

Southern Wake Counseling Center is located at 1880 N Broad St, Fuquay Varina, NC 27526. The listed phone number is (919) 557-8222.

What is Southern Wake Counseling Center's specialty?

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

Is Southern Wake Counseling Center enrolled in Medicare?

Yes. Southern Wake Counseling Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Wake Counseling Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Southern Wake Counseling Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Wake Counseling Center accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Southern Wake Counseling Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Wake Counseling Center was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.