Brianna Celine Dedeaux

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17839 Issued in NC

Practice address

800 N Walnut St
Lumberton, NC 28358-4832

Phone

(910) 739-3064

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Robeson County Teen Court & Youth Services

  • Mental Health Counselor
  • Lumberton, NC
  • NPI 1770235657
  NPD

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1093473324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N WALNUT ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584832",
            "telephone_number": "910-977-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WALNUT ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584832",
            "telephone_number": "910-739-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDEAUX",
        "first_name": "BRIANNA",
        "middle_name": "CELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Davis, P.A.
• Shnika Davis
• Strange Lamil Dawkins, DPT
• Candace Locklear Dean, FNP
• Christian T Debeck, M.D.
• Adrian Deese, M.D.
• Jackie Deese, SPEECH THERAPIST
• Lashauna Renee Deese, MD
• Meagan Denise Deese, FNP-BC
• Jenna Demareo

• Mental Health Counselor in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Mental Health Counselor in North Carolina

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