Individual provider Active NPI

Carol Lynn Battle-Ferguson

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1114596368
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCMHCA16210 Issued in NC
Practice address
8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095
Phone
(919) 900-7438
Fax
(919) 900-7576
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 LCMHCA16210 NC Primary

Addresses

Primary practice location

8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095

Mailing address

5041 Valley Stream Dr
Raleigh, NC 27616-0761
Phone (919) 896-5323

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

LicenseStateTypeSpecialty
LCMHCA16210NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Ruben Counseling Center Mental Health CurrentSince Oct 17, 2021 Accepting new patients
Fernandez Community Center, LLC Mental Health CurrentSince Jun 27, 2021 Accepting new patients

Locations

8376 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 585-5085

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1114596368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 VALLEY STREAM DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276160761",
            "telephone_number": "919-896-5323",
            "fax_number": "919-900-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 SIX FORKS RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155095",
            "telephone_number": "919-900-7438",
            "fax_number": "919-900-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE-FERGUSON",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCMHCA16210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.