Active NPI
Deniece Nicole Humphrey
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1508751520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15718
- Practice address
- 1540 Purdue Dr Ste 301
Fayetteville, NC 28303-5510 - Phone
- (910) 292-6597
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A15718 | NC | Primary |
Addresses
Primary practice location
1540 Purdue Dr Ste 301
Fayetteville, NC 28303-5510
Mailing address
1540 Purdue Dr Ste 301
Fayetteville, NC 28303-5510
Phone (910) 292-6597
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 |
|---|---|---|---|
| A15718 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1508751520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 PURDUE DR STE 301",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035510",
"telephone_number": "910-292-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 PURDUE DR STE 301",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035510",
"telephone_number": "910-292-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "DENIECE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.