Individual provider Active NPI

Janice Enders Lee, LCMHC, LCAS

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1083127294
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9292 Issued in NC
Practice address
2505 S Mebane St Ste a-B
Burlington, NC 27215-6385
Phone
(336) 223-0444
Fax
(336) 223-0449
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2524 NC
Mental Health Counselor 101YM0800X 9292 NC Primary

Addresses

Primary practice location

2505 S Mebane St Ste a-B
Burlington, NC 27215-6385

Mailing address

331 Hale St
Burlington, NC 27217-3114
Phone (336) 213-8028

Other names 1

  • Janice Enders Former name

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
9292NCMDPhysical Therapist
2524NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1083127294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 HALE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173114",
            "telephone_number": "336-213-8028",
            "fax_number": "336-223-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S MEBANE ST STE A-B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156385",
            "telephone_number": "336-223-0444",
            "fax_number": "336-223-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANICE",
        "middle_name": "ENDERS",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2524",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "ENDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.