Ivana Jenaya Dula

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20705 Issued in NC

Practice address

1170 Fairgrove Church Rd
Hickory, NC 28602-9695

Phone

(828) 464-1172

NPI assigned

Oct 28, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1477375723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCHDALE DR.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "704-332-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029695",
            "telephone_number": "828-464-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hiddenite Church Rd",
            "address_purpose": "LOCATION",
            "city": "Hiddenite",
            "state": "NC",
            "postal_code": "286368168",
            "country_code": "US",
            "telephone_number": "828-499-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULA",
        "first_name": "IVANA",
        "middle_name": "JENAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddalena Pizzirusso Duarte, M.D.
• Cameron Joyce Dubose
• Elizabeth Ward Duffy, LPCA
• Harold C Dufour Jr., M.D.
• Cynthia Dugger
• David J Dumond, PHYSICAL THERAPIST
• Audrey Anna Duncan, APRN, PMHNP-BC
• Julia Lenora Duncan, PHARMD
• Margaret Duncan, CCC-SLP
• Maria T Dunmore, OTA/L

• Mental Health Counselor in Hickory, NC
• Providers in Hickory, 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 30, 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.