Jennifer Eileen Redman, LPC, LCAS, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7250 Issued in NC

Practice address

4000 Shipyard Blvd
Ste 130
Wilmington, NC 28403-6192

Phone

(910) 763-3166

Fax

(910) 763-3169

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1235323163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "STE 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036192",
            "telephone_number": "910-763-3166",
            "fax_number": "910-763-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "STE 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036192",
            "telephone_number": "910-763-3166",
            "fax_number": "910-763-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "JENNIFER",
        "middle_name": "EILEEN",
        "credential": "LPC, LCAS, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA463",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7250",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 205439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sykes LPC,PLLC
• Richard R. Recko, DPM, PA
• Tara Rector, PA-C
• Kebrina Redd, LCSW
• Alexis Redman, LCSWA, LCASA
• Redstone Nemt LLC
• Redwood LTC Group, LLC
• Brittany Reed, DPT, CLT
• Kristy Lynn Reed, MS, LPA
• Lois H Reed, PHD

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.