Jewel Rayshella Butler, MA LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5075 Issued in NC

Practice address

853 Wake Forest Business Park
Suite I
Wake Forest, NC 27587-6522

Phone

(919) 455-5733

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1407967664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE I",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876522",
            "telephone_number": "919-455-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WAKE FOREST BUSINESS PARK",
            "address_2": "SUITE I",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876522",
            "telephone_number": "919-455-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JEWEL",
        "middle_name": "RAYSHELLA",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5075",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5 COUNTY MENTAL HLTH AUTH",
            "identifier": "8521",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103134",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "14142",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Burnett, MA, NCC, LCMHC
• Peyton Elise Burns
• Haley M Burton, FNP
• Philip D Burton
• Catherine Grace Busam, LPC
• Azelin Buttitta, CRNA
• Fedoria Latorya Bynum, LCMHC
• Margaret Marian Cahill, LCSW
• Laura Marie Cairns, CCC/SLP
• Paola Nicole Milagros Caldas Font, MD

• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, 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 May 14, 2013; 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.