Vestillia Shaunta Duggins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P019983 Issued in NC

Practice address

173 Fairmont Cir
Kannapolis, NC 28083-7819

Phone

(843) 260-4904

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Transitions in Lyfe

  • Community/Behavioral Health Agency
  • Kannapolis, NC
  • NPI 1700259926
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1447413224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 FAIRMONT CIR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280837819",
            "telephone_number": "843-260-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGINS",
        "first_name": "VESTILLIA",
        "middle_name": "SHAUNTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "P019983",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P019983",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Sanchez & Associates
• Margot C Dragon, L. AC.
• Jennifer Ann Drisker, LCSW-A
• Ann Busser Driver, LPC
• DRS. Johal, Dunning & Associates VI, P.a.
• Victoria Ann Hunter Dulin
• Henry D Duncan, DDS
• Alyssa Michelle Durpetti, MSW, LCSWA
• Dorenda Durr
• Michael Jemar Dyson, LCMHC-A, NCC, CCC

• Mental Health Counselor in Kannapolis, NC
• Providers in Kannapolis, 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 Jan 24, 2024; 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.