Active NPI
Quanda Lashawn Banks, LCMHC
- Mental Health Counselor
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14264
- Practice address
- 5135 Morganton Rd RM 107a
Fayetteville, NC 28314-1525 - Phone
- (910) 922-0441
- NPI assigned
- May 3, 2018
- Last updated
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14264 | NC | Primary |
Addresses
Primary practice location
5135 Morganton Rd RM 107a
Fayetteville, NC 28314-1525
Mailing address
PO Box 1267
Raeford, NC 28376-1267
Phone (910) 922-0441
Other practice location 1
945 N Indian Creek Dr
Clarkston, GA 30021-2221
Phone (404) 298-9005
Other practice location 2
401 Robeson St
Fayetteville, NC 28301-5635
Phone (910) 321-0069
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14264 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Growth Inc. | Current | Accepting new patients | |
| Balance to Health & Wellness LLC | Current | Accepting new patients |
Locations
945 N Indian Creek Dr
Clarkston, GA 30021
Phone (404) 298-9005
5135 Morganton Rd
Ste 201
Fayetteville, NC 28314
Phone (910) 364-9709
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Fayetteville, NC
- NPI 1720689888
-
- Community/Behavioral Health Agency
- Clarkston, GA
- NPI 1437343555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1023507266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283761267",
"telephone_number": "910-922-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5135 MORGANTON RD RM 107A",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141525",
"telephone_number": "910-922-0441"
}
],
"practiceLocations": [
{
"address_1": "945 N Indian Creek Dr",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "GA",
"postal_code": "300212221",
"country_code": "US",
"telephone_number": "404-298-9005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Robeson St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283015635",
"country_code": "US",
"telephone_number": "910-321-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "QUANDA",
"middle_name": "LASHAWN",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.