Active NPI
Ayana Fritz Lewis, LCMHCA
- Mental Health Counselor
- Henderson, NC
National Provider Identifier
1205660727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A20433
- Practice address
- 205 Dabney Dr
Henderson, NC 27536-4033 - Phone
- (252) 767-6696
- NPI assigned
- Aug 27, 2024
- Last updated
- Aug 27, 2024
- 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 | A20433 | NC | |
| Mental Health Counselor | 101YM0800X | A20433 | NC | Primary |
| Pastoral Counselor | 101YP1600X | A20433 | NC |
Addresses
Primary practice location
205 Dabney Dr
Henderson, NC 27536-4033
Mailing address
105 W Pasture Dr
Kittrell, NC 27544-9519
Phone (252) 767-6696
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 |
|---|---|---|---|
| A20433 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Mind Healthy Me PLLC | Current | Accepting new patients |
Locations
205 Dabney Dr
Henderson, NC 27536
Phone (252) 767-6696
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Henderson, NC
- NPI 1982582128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1205660727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W PASTURE DR",
"city": "KITTRELL",
"state": "NC",
"postal_code": "275449519",
"telephone_number": "252-767-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DABNEY DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364033",
"telephone_number": "252-767-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AYANA",
"middle_name": "FRITZ",
"name_prefix": "Mrs.",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A20433",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A20433",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": "A20433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.