Jenna Rackley Little, LCMHCA, RDN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17356 Issued in NC

Practice address

6604 Six Forks Rd Ste 204
Raleigh, NC 27615-6521

Phone

(252) 717-8794

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1275267718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TWIN STAR LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456636",
            "telephone_number": "252-717-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156521",
            "telephone_number": "252-717-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Twin Star Ln",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456636",
            "country_code": "US",
            "telephone_number": "252-717-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JENNA",
        "middle_name": "RACKLEY",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jennalittlewellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "624 Twin Star Ln",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Alan Little, PHARMD
• Brandt Thomas Little, PT, DPT
• Claire Elizabeth Little, MPT
• David Cameron Little, P.T.A.
• Jaquayla Monae Little
• Katherine Little, PHARM.D.
• Venus Little
• B'Anca Jenay Littlejohn, RN
• Rebecca Littleton
• Robert E. Littleton, MD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Jul 11, 2022; 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.