Individual provider Active NPI

Deborah Wilkerson Saunders, MA, LPC

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1255680294
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A8132 Issued in NC
Practice address
736 Tiara Dr
Wilmington, NC 28412-3266
Phone
(919) 691-4071
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A8132 NC Primary

Addresses

Primary practice location

736 Tiara Dr
Wilmington, NC 28412-3266

Mailing address

736 Tiara Dr
Wilmington, NC 28412-3266
Phone (919) 691-4071

Other identifiers 1

IdentifierTypeStateIssuer
8132OtherNCLICENSED PROFESSIONAL COUNSELOR LICENSE NUMBER

Other names 1

  • Deborah Wilkerson Holt Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
A8132NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1255680294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 TIARA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123266",
            "telephone_number": "919-691-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 TIARA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123266",
            "telephone_number": "919-691-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "DEBORAH",
        "middle_name": "WILKERSON",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR LICENSE NUMBER",
            "identifier": "8132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HOLT",
            "middle_name": "WILKERSON",
            "credential": "MA,LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.