Individual provider Active NPI

Renee Watson Adams, LPCA

  • Mental Health Counselor
  • Selma, NC
National Provider Identifier
1104248491
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCA10621 Issued in NC
Practice address
48 Godwin LN
Selma, NC 27576-8499
Phone
(919) 631-4831
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCA10621 NC Primary

Addresses

Primary practice location

48 Godwin LN
Selma, NC 27576-8499

Mailing address

48 Godwin LN
Selma, NC 27576-8499
Phone (919) 631-4831

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240626000536 NC Practitioner - Mental Health Counselor 2466867726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 S Brightleaf Blvd
Suite 6
Smithfield, NC 27577-4077
Phone (919) 628-4974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCA10621NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Beyond It Counseling and Consultation Services, PLLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

201 S Brightleaf Blvd
Ste 6
Smithfield, NC 27577
Phone (919) 628-4974

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1104248491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 GODWIN LN",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275768499",
            "telephone_number": "919-631-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GODWIN LN",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275768499",
            "telephone_number": "919-631-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RENEE",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPCA10621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

Verify at the official NPI Registry.