Emily Jerome, MED, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16670 Issued in NC

Practice address

302 Jefferson St
Raleigh, NC 27605-1289

Phone

(846) 699-0602

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Education

State licenses

Practice roles

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.

• Counseling Professionals PLLC

  • Multi-Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1740634773

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1124698444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 CHAPEL HILL RD STE J",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075039",
            "fax_number": "048-391-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 JEFFERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051289",
            "telephone_number": "846-699-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "EMILY",
        "credential": "MED, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefani Jerina
• Edward W Jernigan, MD
• Emily Hodgin Jernigan, DMD
• Kristin Pownall Jernigan, FNP-C
• Melissa Capps Jernigan, BSN, RN, CDE
• Rose S Jerome, LCMHC
• Samantha Joy Jerome
• Justine Greathouse Jerrett, M.D.
• Jerry S. Alvis, D.D.S., P.a.
• Jessica D Kasinoff PLLC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Jun 29, 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.