Active NPI
Katherine Da Luz, LCAS, LCMHC
- Counselor
- Raleigh, NC
National Provider Identifier
1215364401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1011 Dresser CT
Raleigh, NC 27609-7323 - Phone
- (919) 624-0982
- Fax
- (919) 516-0057
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3401-A | NC | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1011 Dresser CT
Raleigh, NC 27609-7323
Mailing address
4709 Edwards Mill Rd Apt G
Raleigh, NC 27612-4443
Phone (919) 624-0982
Other practice location 1
3125 Poplarwood Ct
Suite 203
Raleigh, NC 27604-1084
Phone (919) 787-6131
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 |
|---|---|---|---|
| 3401-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Oaks Behavioral Health & Wellness | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1528563194
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1215364401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 EDWARDS MILL RD APT G",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124443",
"telephone_number": "919-624-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 DRESSER CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097323",
"telephone_number": "919-624-0982",
"fax_number": "919-516-0057"
}
],
"practiceLocations": [
{
"address_1": "3125 Poplarwood Ct",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276041084",
"country_code": "US",
"telephone_number": "919-787-6131",
"fax_number": "919-571-2932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DA LUZ",
"first_name": "KATHERINE",
"credential": "LCAS, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3401-A",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.