Individual provider Active NPI

Zakiya Ky-Azia Futrell

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1326711151
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16620 Issued in NC
Practice address
3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523
Phone
(919) 900-7552
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16620 NC Primary

Addresses

Primary practice location

3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523

Mailing address

3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523
Phone (919) 900-7552

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

State licenses

LicenseStateTypeSpecialty
A16620NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeologie Counseling Raleigh, PLLC CurrentSince Aug 1, 2021 Accepting new patients
David Young Oh, LLC Mental Health Past Accepting new patients

Locations

3901 Barrett Dr
Ste 100
Raleigh, NC 27609
Phone (919) 782-6554

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1326711151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BARRETT DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096523",
            "telephone_number": "919-900-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BARRETT DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096523",
            "telephone_number": "919-900-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRELL",
        "first_name": "ZAKIYA",
        "middle_name": "KY-AZIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.