Active NPI
Anyelle Johanna De Leon, LPCA
- Professional Counselor
- Chapel Hill, NC
National Provider Identifier
1174044754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13069
- Practice address
- 118 New Stateside Dr
Chapel Hill, NC 27516-1165 - Phone
- (919) 942-1844
- NPI assigned
- Jul 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A13069 | NC | |
| Mental Health Counselor | 101YM0800X | A13069 | NC | |
| Professional Counselor | 101YP2500X | A13069 | NC | Primary |
Addresses
Primary practice location
118 New Stateside Dr
Chapel Hill, NC 27516-1165
Mailing address
1808 Chapel Hill Rd Apt B12
Durham, NC 27707-1140
Phone (919) 525-1220
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
| License | State | Type | Specialty |
|---|---|---|---|
| A13069 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1174044754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 CHAPEL HILL RD APT B12",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071140",
"telephone_number": "919-525-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "ANYELLE",
"middle_name": "JOHANNA",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-04",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A13069",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A13069",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.