Active NPI
Debra Jane Carbone, LPC RN
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1275668642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4685
- Practice address
- 2425 S 17TH St
Wilmington, NC 28401-7903 - Phone
- (910) 313-3232
- Fax
- (910) 313-6598
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4685 | NC | Primary |
Addresses
Primary practice location
2425 S 17TH St
Wilmington, NC 28401-7903
Mailing address
128 Emberwood Dr
Winnabow, NC 28479-5186
Phone (910) 880-0234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1423T | Other | NC | BCBS |
Other names 1
- Debra Jane Brown
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
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1275668642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 EMBERWOOD DR",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284795186",
"telephone_number": "910-880-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017903",
"telephone_number": "910-313-3232",
"fax_number": "910-313-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONE",
"first_name": "DEBRA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LPC RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1423T",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "BROWN",
"middle_name": "JANE",
"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 Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.