Jennifer Heer Ennis, R.N.,C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

47988 Issued in NC

Practice address

4601 Lake Boone TRL
Suite 1B
Raleigh, NC 27607-7503

Phone

(919) 781-1800

Fax

(919) 781-1899

NPI assigned

Apr 18, 2007

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437375052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 1B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-1800",
            "fax_number": "919-781-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 1B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-1800",
            "fax_number": "919-781-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "JENNIFER",
        "middle_name": "HEER",
        "name_prefix": "Mrs.",
        "credential": "R.N.,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "47988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Engler, PHYSICIAN ASSISTANT
• James Thomas English, PH.D.
• Engstrom & Cheek, DDS, Ms, PLLC
• Todd G Engstrom, DDS
• Enlightening Nurturance, Inc.
• Seton Smiell-Koons Ennis, LCSW
• Enoc Madero
• Tameka Enoch, LMBT
• Carrie A Enright, P.A.-C
• Danielle Enrique, LAT, ATC

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Jul 8, 2007; 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.