Active NPI
Rosa McAllister-McRae
- Mental Health Counselor
- Raeford, NC
National Provider Identifier
1104111467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4777
- Practice address
- 120 Sprucepine Dr
Raeford, NC 28376-8452 - Phone
- (910) 695-3725
- Fax
- (910) 695-3981
- NPI assigned
- Jun 15, 2011
- Last updated
- Jun 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4777 | NC | Primary |
Addresses
Primary practice location
120 Sprucepine Dr
Raeford, NC 28376-8452
Mailing address
120 Sprucepine Dr
Raeford, NC 28376-8452
Phone (910) 695-3725
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1104111467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SPRUCEPINE DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283768452",
"telephone_number": "910-695-3725",
"fax_number": "910-695-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPRUCEPINE DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283768452",
"telephone_number": "910-695-3725",
"fax_number": "910-695-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALLISTER-MCRAE",
"first_name": "ROSA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.