Dejuan Joyce Lundy, LPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S7145 Issued in NC

Practice address

201 New Bridge St
Suite 203
Jacksonville, NC 28540-4736

Phone

(919) 225-9315

Fax

(910) 346-1003

NPI assigned

Mar 27, 2009

Last updated

May 29, 2019By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thriveworks Clinical - North Carolina PC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1003303082
  Medicare reassignment Care Compare group NPD
• Crossroads Counceling Services LLC

  • Counselor
  • Jacksonville, NC
  • NPI 1881010288
  Authorized official Same address or phone
• Crossroads Therapeutic Services

  • Counselor
  • Jacksonville, NC
  • NPI 1275946741
  Authorized official Same address or phone
• D. W. de Vose & Associates, LLC

  • Mental Health Counselor
  • Martinez, GA
  • NPI 1174139133
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1427290105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SOLOMON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468454",
            "telephone_number": "919-225-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW BRIDGE ST",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404736",
            "telephone_number": "919-225-9315",
            "fax_number": "910-346-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "DEJUAN",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S7145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lower Cape Fear Hospice, Incorporated (Lower Cape Fear LifeCare)
• Stormy Westbrook Ludlum
• Hannah Ludzack, DPT, PT
• Courtney Luna
• Suyong Grace Luna, FNP
• Driyanna Lynch, BSN, RN
• Mikayla Lyon, DC
• Andrew Ryan Lytton, PA
• Sheila Anne Maaran, R.N.
• Samantha J Mabry

• Professional Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.