Deiandra Shaneyce Wade, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A13096 Issued in NC

Practice address

3409 W Wendover Ave Ste I
Greensboro, NC 27407-1579

Phone

(336) 897-2375

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1386141349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 ELMER ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055801",
            "telephone_number": "336-324-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W WENDOVER AVE STE I",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071579",
            "telephone_number": "336-897-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DEIANDRA",
        "middle_name": "SHANEYCE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Wachtel, MRC, LPC, CRC
• Latoya Chevelle Waddell, LCMHCS, LCAS, CCS
• Karen Waddill
• April Donnika Wade
• Bianca Denise Wade, RN
• Tandra Wade, LCSW
• Wilda Faye Wade, PH.D.,RD, LDN
• Rebeccah Nanjala Wafula
• Bethany Ruth Wagler, DNP, AGPCNP-BC
• Jaime Stephan Wagner, D.O.

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.