Active NPI
Colleen Dougherty Raper, MS, LCAS
- Addiction (Substance Use Disorder) Counselor
- Wilson, NC
National Provider Identifier
1083918254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 167
- Practice address
- 4205 Dewfield Dr N
Wilson, NC 27896-8975 - Phone
- (252) 237-1514
- NPI assigned
- Jan 3, 2011
- Last updated
- Dec 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 167 | NC | Primary |
| School Counselor | 101YS0200X | NC |
Addresses
Primary practice location
4205 Dewfield Dr N
Wilson, NC 27896-8975
Mailing address
4205 Dewfield Dr N
Wilson, NC 27896-8975
Phone (252) 237-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6112231 | Medicaid | NC |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354320000000",
"number": "1083918254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 DEWFIELD DR N",
"city": "WILSON",
"state": "NC",
"postal_code": "278968975",
"telephone_number": "252-237-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 DEWFIELD DR N",
"city": "WILSON",
"state": "NC",
"postal_code": "278968975",
"telephone_number": "252-237-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPER",
"first_name": "COLLEEN",
"middle_name": "DOUGHERTY",
"name_prefix": "Mrs.",
"credential": "MS, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2012-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "167",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6112231",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Taylor Rainey, MS CCC-SLP
- Ralph L Clayton III (Southeastern Medical Supplies)
- Maria Elena Ramirez
- Mark Patrick Randolph, PA-C
- Richard Nichols Randolph, O.D.
- Amber Christine Rardin, PA-C
- Mytajha Charbarneau Rascoe, MSW, LCSW
- Lakeisha Rayner, FNP-C
- Realo Discount Drug Stores of Eastern North Carolina Inc (Realo Discount Drugs)
- Realo Discount Drug Stores of Eastern North Carolina, Inc (Realo Discount Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.