NPIMap

Individual provider Active NPI

Windy J Ezzell, MA, LPC

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1063444693
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3272 Issued in NC
Practice address
1133 Military Cutoff Rd Ste 210
Wilmington, NC 28405-4400
Phone
(910) 256-3784
Fax
(910) 256-3787
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3272 NC Primary

Addresses

Primary practice location

1133 Military Cutoff Rd Ste 210
Wilmington, NC 28405-4400

Mailing address

1133 Military Cutoff Rd Ste 210
Wilmington, NC 28405-4400
Phone (910) 256-3784

Other practice location 1

5009 Wrightsville Ave # A
Wilmington, NC 28403-7045
Phone (910) 791-5575

Other identifiers 2

IdentifierTypeStateIssuer
132PMOtherNCBCBS OF NC
015PFOtherNCBCBS OF NC GROUP NUMBER

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3272NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Solutions Counseling Center, PLLC Professional Current Accepting new patients
LMV Counseling, PLLC Past Accepting new patients

Locations

2450 Delaney Ave
Wilmington, NC 28403
Phone (910) 256-3784

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1063444693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF RD STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054400",
            "telephone_number": "910-256-3784",
            "fax_number": "910-256-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF RD STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054400",
            "telephone_number": "910-256-3784",
            "fax_number": "910-256-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5009 Wrightsville Ave # A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284037045",
            "country_code": "US",
            "telephone_number": "910-791-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZZELL",
        "first_name": "WINDY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "132PM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP NUMBER",
            "identifier": "015PF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.