Jhazmere Shamas Preston

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JHAZMERE SHAMAS PRESTON

Doing business as

Mentor Raising Mentors Behavioral Health Services PLLC

Practice address

4913 Professional CT Ste 210
Raleigh, NC 27609-1926

Phone

(919) 806-6835

Fax

(919) 364-4797

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Jhazmere Preston, LCMHCNPI 1437502408

Title

Executive Director

Phone

(919) 806-6835

Specialties & licenses 3

Addresses

Other names 1

• Mentor Raising Mentors Behavioral Health Services PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jhazmere Shamas Preston

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1437502408

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1295355493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091926",
            "telephone_number": "919-806-6835",
            "fax_number": "919-364-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091926",
            "telephone_number": "919-806-6835",
            "fax_number": "919-364-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHAZMERE SHAMAS PRESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "JHAZMERE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-806-6835",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentor Raising Mentors Behavioral Health Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Ann Jethro, PA-C
• Kathryn Bailey Jeutter, PA-C, ATC
• Duane Daniel Jewell, CRNA
• Jessie Lynn Jewell, CRNA
• Sheryl Logan Jewett, OTR/L
• Jinzhao Ji, PA-C
• Katherine Jillson, NP
• Amanda Roth Jimenez, D.O.
• Julia Jimenez, LCAS-A
• Tyler Jimenez

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.