Individual provider Active NPI

Joy Nicole McNeil, PHD, LCMHC, NCC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1134554124
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11268 Issued in NC
Practice address
109 Hay St Ste 202
Fayetteville, NC 28301-6107
Phone
(910) 916-3317
Fax
(910) 239-8387
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11268 NC
Mental Health Counselor 101YM0800X 11268 NC Primary

Addresses

Primary practice location

109 Hay St Ste 202
Fayetteville, NC 28301-6107

Mailing address

5075 Morganton Rd Ste 10C
Fayetteville, NC 28314-1534
Phone (910) 916-3317

Other practice location 1

4603 Keg Ct
Fayetteville, NC 28314-2473
Phone (910) 916-3317

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11268NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Welling Place LLC Professional CurrentSince Aug 29, 2021 Accepting new patients

Locations

2525 Raeford Rd
Ste C
Fayetteville, NC 28305
Phone (910) 309-6569

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1134554124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 10C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141534",
            "telephone_number": "910-916-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HAY ST STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016107",
            "telephone_number": "910-916-3317",
            "fax_number": "910-239-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4603 Keg Ct",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142473",
            "country_code": "US",
            "telephone_number": "910-916-3317",
            "fax_number": "910-239-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "JOY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11268",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.