PERSON CENTERED SUPPORT CONSULTING SERVICES LLC
NPI 1942855887
Community/Behavioral Health in Winterville, NC

Q: What is Person Centered Support Consulting Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 07, 2019

2040 S PARK DR STE F, WINTERVILLE, NC 28590(252) 751-0865 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2023, Aug 7, 2019 (2 updates tracked since 2019).

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About Person Centered Support Consulting Services Llc NPPES

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

PERSON CENTERED SUPPORT CONSULTING SERVICES LLC (NPI 1942855887) is a healthcare organization registered as a community/behavioral health in Winterville, North Carolina and active in the NPI registry since August 2019. The organization lists Kimberly Wilder, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1942855887

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePERSON CENTERED SUPPORT CONSULTING SERVICES LLC

Location Address2040 S PARK DR STE FWinterville, NC 28590-8945

Mailing Address2040 S Park Dr Ste FWinterville, NC 28590-8945

Phone(252) 751-0865

Organization SubpartNo

Authorized OfficialKimberly WilderOwner/therapist · (252) 327-9415

Enumeration DateAugust 7, 2019

Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1942855887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

2040 S PARK DR STE F, Winterville, NC 28590

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Person Centered Support Consulting Services Llc 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 Person Centered Support Consulting Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tameika Gay, LCSWA

Clinical Social Worker

NPI 1700290954

2317 EXECUTIVE CIR STE B
Greenville, NC 27834

(252) 551-5544

✔ PECOS4.0 mi

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 Person Centered Support Consulting Services LLC's NPI number?

The NPI number for Person Centered Support Consulting Services LLC is 1942855887. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Person Centered Support Consulting Services LLC located?

Person Centered Support Consulting Services LLC is located at 2040 S Park Dr Ste F, Winterville, NC 28590. The listed phone number is (252) 751-0865.

What is Person Centered Support Consulting Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Person Centered Support Consulting Services LLC enrolled in Medicare?

Yes. Person Centered Support Consulting Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Person Centered Support Consulting Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Person Centered Support Consulting Services LLC. 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.

When was this NPI record last updated?

The NPPES record for Person Centered Support Consulting Services LLC was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.