Active NPI
Lekisha Crouch
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1053701607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-2549
- Practice address
- 6311 Quitman TRL
Raleigh, NC 27610-1171 - Phone
- (919) 720-7213
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-2549 | NC | Primary |
Addresses
Primary practice location
6311 Quitman TRL
Raleigh, NC 27610-1171
Mailing address
6311 Quitman TRL
Raleigh, NC 27610-1171
Phone (919) 720-7213
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 |
|---|---|---|---|
| LCAS-2549 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1053701607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 QUITMAN TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101171",
"telephone_number": "919-720-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311 QUITMAN TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101171",
"telephone_number": "919-720-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "LEKISHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-2549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Nadia Josephine Crossno-Rodriguez, MED, LCMHCA, LCASA
- Crossroads Counseling & Mental Health Agency Inc
- Crossvine Clinical Group, PLLC
- Robin Joy Croswell, DDS, MS
- Katherine Crouch, CCC-SLP
- Jillian Crouchley, M.D.
- Hannah Crouse, LPCA
- Lauren Nami Crouse, MD
- Amanda Renee Crow, M.D.
- Sara Elizabeth Crow, MED, LCMHC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.