JG Mwamba Powell, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

29168 Issued in NC

Practice address

1913 Lamar St
Durham, NC 27705-3310

Phone

(919) 286-1509

Fax

(910) 897-2009

NPI assigned

Nov 18, 2024

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morse Clinic of Dunn, PC

  • Methadone Clinic
  • Erwin, NC
  • NPI 1326557596
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1417772211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 LAMAR ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053310",
            "telephone_number": "919-286-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 LAMAR ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053310",
            "telephone_number": "919-286-1509",
            "fax_number": "910-897-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JG",
        "middle_name": "MWAMBA",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elaine Powell-Boone, PA-C
• Alexandra Newlin Powell, M.D.
• Amy Elliott Powell, LCSW
• Bret Steven Powell, D.O., M.P.H.
• Jennifer Michelle Powell, O.D.
• Karen Nicole Powell, LMHC12273 LCMHC11423
• Kim Rae Powell, M.ED - SLP
• Kimberly M Powell, MS, CCC-SLP
• Lindsay Powell
• Marcy Stephens Powell, MD

• Addiction (Substance Use Disorder) Counselor in Durham, NC
• Providers in Durham, NC by specialty
• 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 Mar 27, 2025; 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.