Individual provider Active NPI

Joan Saunders Durham, LPC NCC

  • Counselor
  • Rocky Mount, NC
National Provider Identifier
1356363113
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC4785 Issued in NC
Practice address
142A Woodridge CT
Rocky Mount, NC 27804-2294
Phone
(252) 972-1000
Fax
(252) 972-1004
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC4785 NC Primary
Counselor 101Y00000X NOC46520 NC

Addresses

Primary practice location

142A Woodridge CT
Rocky Mount, NC 27804-2294

Mailing address

110 Harper Farm LN
Rocky Mount, NC 27801-9585
Phone (252) 442-8891

Other identifiers 2

IdentifierTypeStateIssuer
13890OtherNCBCBS
6102206MedicaidNC

Other names 1

  • Ms. Joan Fuller Saunders Former name

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
LPC4785NCMDCounselor
NOC46520NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1356363113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARPER FARM LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278019585",
            "telephone_number": "252-442-8891",
            "fax_number": "252-972-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A WOODRIDGE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042294",
            "telephone_number": "252-972-1000",
            "fax_number": "252-972-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JOAN",
        "middle_name": "SAUNDERS",
        "name_prefix": "Mrs.",
        "credential": "LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC4785",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "NOC46520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13890",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "SAUNDERS",
            "middle_name": "FULLER",
            "prefix": "MS.",
            "credential": "LPC NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.