Ilene Procida, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7070 Issued in NC

Practice address

201 N Ridgeway Ave
Black Mountain, NC 28711-3506

Phone

(828) 699-7988

NPI assigned

Jul 31, 2008

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Mountain Counseling Center

  • Psychiatry Physician
  • Black Mountain, NC
  • NPI 1225314586
  NPD

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1265698096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N RIDGEWAY AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113506",
            "telephone_number": "828-669-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIDGEWAY AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113506",
            "telephone_number": "828-699-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCIDA",
        "first_name": "ILENE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7070",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Shane Pleasant, LMBT, CPT
• Vivian Ruth Poetter, MD
• John Austin Powers, RPH
• James Pratson, DPT
• Primary Eye Care Assoc OD PA
• Jesse Quam, LCSW
• Bradley Scott Rachman, D.C
• Sarah-Anne Ragon, LMBT
• Melissa Autumn Raines, LCMHCA
• Raleigh Durham Medical Group, PA (Family Care)

• Mental Health Counselor in Black Mountain, NC
• Providers in Black Mountain, 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 Nov 5, 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.

Verify at the official NPI Registry.