Individual provider Active NPI

Dawn Marie Meacham, MSCE

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1215229034
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S9160 Issued in NC
Practice address
4204 Ferriday CT
Raleigh, NC 27616-9517
Phone
(919) 413-4282
NPI assigned
May 12, 2011
Last updated
Oct 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-22148 NC
Mental Health Counselor 101YM0800X S9160 NC Primary

Addresses

Primary practice location

4204 Ferriday CT
Raleigh, NC 27616-9517

Mailing address

1520 Atria Cir Apt 1214
Raleigh, NC 27604-5321
Phone (919) 455-5396

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

State licenses

LicenseStateTypeSpecialty
LCAS-22148NCMDAddiction (Substance Use Disorder) Counselor
S9160NCMDMental Health Counselor
9160NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
City to City Delivery, LLC CurrentSince Nov 3, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dawn.meacham@direct.slhc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1215229034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ATRIA CIR APT 1214",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045321",
            "telephone_number": "919-455-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 FERRIDAY CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169517",
            "telephone_number": "919-413-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.