Chelsea Banks, MMFT, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-25105 Issued in NC

Practice address

3208 Sunset Ave Ste B
Rocky Mount, NC 27804-3590

Phone

(252) 212-5524

Fax

(252) 212-5844

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1366916447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 MARVELLE AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032328",
            "telephone_number": "610-360-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 SUNSET AVE STE B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043590",
            "telephone_number": "252-212-5524",
            "fax_number": "252-212-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CHELSEA",
        "credential": "MMFT, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Baker, FNP-BC
• Amanda Nash Baldwin, NNP-BC
• Donald W Bales, MD
• Vasanth B Baliga, MD
• Jacqueline Whitaker Bandy
• Faraja F Barbour, RN
• Garrett Barger, RBT
• Shawanda Ann Barnes
• Lamont Zebediah Barnett, PH.D., LCAS-A, MAC
• Kelvin Barnhill Sr.

• All providers in Rocky Mount, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.