Courtney Elizabeth Early, LCMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19149 Issued in NC

Practice address

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Phone

(252) 862-5561

NPI assigned

Sep 11, 2023

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Metropolitan Community Health Services, Inc

  dba Agape Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  Medicare reassignment NPD
• Metropolitan Community Health Services, Inc.

  dba Roanoke River Orthopedics

  • Orthopaedic Surgery Physician
  • Williamston, NC
  • NPI 1295515260
  NPD
• Metropolitan Community Health Services, Inc.

  dba Agape Health Services - Carolina Avenue

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1891590444
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1093592354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEWIS MIZELLE RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279248863",
            "telephone_number": "252-862-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-862-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Provider Care Services, Inc.
• Dream Provider Care Services, Inc.
• Travis Dubois, PHARMD
• Joyce Elaine Dunn, PTA
• John Wesley Earley, MD
• East Carolina Health-Beaufort Inc (Ray G. Silverthorne Crisis Center)
• East Carolina Health-Beaufort Inc (Vidant Beaufort Hospital)
• East Carolina Health-Beaufort Inc (Vidant Beaufort Hospital)
• East Carolina Health-Beaufort Inc (Beaufort Hospital)
• East Carolina Health-Beaufort Inc (Vidant Beaufort Hospital)

• Mental Health Counselor in Washington, NC
• Providers in Washington, 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 Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.