Individual provider Active NPI

Naja Underwood, LPC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1184153686
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12903 Issued in NC
Practice address
422 McArthur Rd Ste 1
Fayetteville, NC 28311-6947
Phone
(910) 745-7295
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12903 NC Primary

Addresses

Primary practice location

422 McArthur Rd Ste 1
Fayetteville, NC 28311-6947

Mailing address

PO Box 64314
Fayetteville, NC 28306-0314
Phone (910) 745-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207004327 NC Practitioner - Mental Health Counselor 8325481237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Liberty Univ College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verna Dority MSW CCSW IncGroup PAC ID 6709070527, 19 clinicians

Practice addresses (Care Compare)

6321 Raeford Rd
Fayetteville, NC 28304-2810
Phone (910) 485-6336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Verna Dority, MSW, CCSW, Inc CurrentSince Dec 7, 2023 Accepting new patients

Locations

6321 Raeford Rd
Fayetteville, NC 28304
Phone (910) 644-0051

602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1184153686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64314",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060314",
            "telephone_number": "910-745-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MCARTHUR RD STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116947",
            "telephone_number": "910-745-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "NAJA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.