Individual provider Active NPI

Quanda Lashawn Banks, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1023507266
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14264 Issued in NC
Practice address
5135 Morganton Rd RM 107a
Fayetteville, NC 28314-1525
Phone
(910) 922-0441
NPI assigned
May 3, 2018
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14264NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Growth Inc. CurrentSince May 1, 2020 Accepting new patients
Balance to Health & Wellness LLC CurrentSince Nov 8, 2020 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.

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.

Verify at the official NPI Registry.