Active NPI
Negat Negussie-Retta, CRC, LPCA
- Professional Counselor
- Creedmoor, NC
National Provider Identifier
1467848119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11273
- Practice address
- 106 W Church St
Suite H
Creedmoor, NC 27522-9766 - Phone
- (919) 885-4046
- Fax
- (919) 477-1848
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11273 | NC | Primary |
Addresses
Primary practice location
106 W Church St
Suite H
Creedmoor, NC 27522-9766
Mailing address
PO Box 73081
Durham, NC 27722-3081
Phone (919) 885-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11273 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Community Foundation | Professional | Past | Accepting new patients |
| Pinnacle Counseling Services, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Creedmoor, NC
- NPI 1457008013
Professional
-
- Professional Counselor
- Creedmoor, NC
- NPI 1255608840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1467848119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73081",
"city": "DURHAM",
"state": "NC",
"postal_code": "277223081",
"telephone_number": "919-885-4046",
"fax_number": "919-477-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W CHURCH ST",
"address_2": "SUITE H",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275229766",
"telephone_number": "919-885-4046",
"fax_number": "919-477-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUSSIE-RETTA",
"first_name": "NEGAT",
"credential": "CRC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creedmoor, NC
- Alexander McNaughton Myers, PH.D.
- Amy Pearce Myrick, LCSW
- Amy Jane Nayo, M.D.
- NC Center for Counseling and Psychological Services
- Tara Neal, MSN, FNP-C
- North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy # 01246)
- Christopher Wayne Oliver, PA
- Chiamaka Maureen Opara, PA
- Katrina Green Paschall, M.ED
- Rachel Mae Payne, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.