Active NPI
Michele A Deinish, MS, LCMHC, NCC
- Professional Counselor
- Sanford, NC
National Provider Identifier
1366465320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2382
- Practice address
- 500 Westover Dr
#10026
Sanford, NC 27330 - Phone
- (910) 375-1518
- Fax
- (800) 991-2996
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8833 | NC | |
| Professional Counselor | 101YP2500X | LC2382 | MD | Primary |
| Pastoral Counselor | 101YP1600X | LC2382 | MD | |
| Pastoral Counselor | 101YP1600X | 8833 | NC | |
| Professional Counselor | 101YP2500X | 8833 | NC |
Addresses
Primary practice location
500 Westover Dr
#10026
Sanford, NC 27330
Mailing address
500 Westover Dr # 10026
Sanford, NC 27330-8941
Phone (910) 375-1518
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2382 | MD | MD | Pastoral Counselor |
| 8833 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1366465320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WESTOVER DR # 10026",
"city": "SANFORD",
"state": "NC",
"postal_code": "273308941",
"telephone_number": "910-375-1518",
"fax_number": "800-991-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WESTOVER DR",
"address_2": "#10026",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "910-375-1518",
"fax_number": "800-991-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEINISH",
"first_name": "MICHELE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS, LCMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2022-05-12",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8833",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2382",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MD",
"license": "LC2382",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": "8833",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.