Destined 2 Thrive LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DESTINED 2 THRIVE LLC

Practice address

1930 Harcourt Cir Apt 103
Fayetteville, NC 28304-0585

Phone

(757) 339-9193

NPI assigned

May 26, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charmaine James, LCMHC, LCAS-ANPI 1487128013

Title

Authorized Agent

Phone

(757) 339-9193

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine Nicole James, LPCA

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1487128013
  NPD Authorized official

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1255906806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 HARCOURT CIR APT 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040585",
            "telephone_number": "757-339-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HARCOURT CIR APT 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040585",
            "telephone_number": "757-339-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED 2 THRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "757-339-9193",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajvi Divyesh Desai, PHARMD
• Rebecca Lynne Deshazo, MA CCC SLP
• Nadirha S Deshields, MSW
• Design Destination Youth and Family Network,LLC
• Elizabeth Ann Dessoye, MS, CCC-SLP
• Aira Bea Villapando Desvarro
• Kassidy Lyn Deuber, MOT OTR/L
• Gautam Dev, MD
• Christoffer Devantier, DMD
• Seema S Devasthali, PT

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.