Individual provider Active NPI

Emily Ann Dew-Adorno, LCHMCA

  • Counselor
  • Raleigh, NC
National Provider Identifier
1003540683
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A17803 Issued in NC
Practice address
8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095
Phone
(919) 900-7438
Fax
(919) 900-7576
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A17803 NC Primary

Addresses

Primary practice location

8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095

Mailing address

432 Woods of North Bend Dr Apt a
Raleigh, NC 27609-3990
Phone (984) 275-5715

Other practice location 1

2500 Nash St N Ste E
Wilson, NC 27896-1394
Phone (919) 900-7438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A17803NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandez Community Center, LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

8376 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 585-5085

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1003540683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 WOODS OF NORTH BEND DR APT A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093990",
            "telephone_number": "984-275-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 SIX FORKS RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155095",
            "telephone_number": "919-900-7438",
            "fax_number": "919-900-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Nash St N Ste E",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278961394",
            "country_code": "US",
            "telephone_number": "919-900-7438",
            "fax_number": "919-900-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEW-ADORNO",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "LCHMCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A17803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.