Active NPI
Josephine Redwine Deronja, M.ED., LPC, NCC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1255642823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7062
- Practice address
- 864 W Morgan St
Raleigh, NC 27603-1614 - Phone
- (919) 743-6140
- Fax
- (919) 743-6143
- NPI assigned
- Jun 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7062 | NC | Primary |
Addresses
Primary practice location
864 W Morgan St
Raleigh, NC 27603-1614
Mailing address
864 W Morgan St
Raleigh, NC 27603-1614
Phone (919) 743-6140
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7062 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1255642823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031614",
"telephone_number": "919-743-6140",
"fax_number": "919-743-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031614",
"telephone_number": "919-743-6140",
"fax_number": "919-743-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERONJA",
"first_name": "JOSEPHINE",
"middle_name": "REDWINE",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7062",
"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 Jun 29, 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.