Active NPI
Rayshelle Archer
- Counselor
- Knightdale, NC
National Provider Identifier
1376935213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A11210
- Practice address
- 502 McKnight Dr
Siute 200
Knightdale, NC 27545-7050 - Phone
- (919) 844-7755
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | A11210 | NC | Primary |
Addresses
Primary practice location
502 McKnight Dr
Siute 200
Knightdale, NC 27545-7050
Mailing address
502 McKnight Dr
Siute 200
Knightdale, NC 27545-7050
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
| License | State | Type | Specialty |
|---|---|---|---|
| A11210 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1376935213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MCKNIGHT DR",
"address_2": "SIUTE 200",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MCKNIGHT DR",
"address_2": "SIUTE 200",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457050",
"telephone_number": "919-844-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "RAYSHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A11210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.