Jewel Antiqual McIntyre, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3234-A Issued in NC

Practice address

420 Fairley Street
Laurinburg, NC 28352

Phone

(910) 649-7313

NPI assigned

Apr 17, 2013

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

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1114360401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FAIRLEY STREET",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FAIRLEY STREET",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-649-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JEWEL",
        "middle_name": "ANTIQUAL",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3234-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiquita Lashane McCrae
• Scott D. McDannold, CRNA
• Christoper McDonald, LCASA
• James P McGinnis, PAC
• Scott T McGraw, MD
• Gene McLaughlin, PA-C
• Kozma Hoskins McLean, MS, LPC-QS, LCAS-A,
• Pearline Brown McLean, LPC
• McLeod Physician Associates II
• Jay McLeod, MHRC

• Mental Health Counselor in Laurinburg, NC
• Providers in Laurinburg, 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 Apr 17, 2013; 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.