Niadra Blount Pratt, MS, LCAS, CCS, LPCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCASA20451 Issued in NC

Practice address

51 NC Hwy 33 West
Chocowinity, NC 27817

Phone

(252) 256-7219

Fax

(252) 364-3414

NPI assigned

Sep 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Niadra Chante Blount Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• PHD Inc

  • Community/Behavioral Health Agency
  • Washington, NC
  • NPI 1114233699
  Medicare reassignment NPD Authorized official
• Coastal Solutions LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chocowinity, NC
  • NPI 1255978128
  NPD Authorized official
• Coastal Solutions LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chocowinity, NC
  • NPI 1336786326
  NPD Authorized official
• Next Page Therapeutics

  • Psychiatric/Mental Health Nurse Practitioner
  • Chocowinity, NC
  • NPI 1548018328
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1518369727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170644",
            "telephone_number": "252-256-7219",
            "fax_number": "252-364-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NC HWY 33 WEST",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "27817",
            "telephone_number": "252-256-7219",
            "fax_number": "252-364-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Tatum Dr",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285604314",
            "country_code": "US",
            "telephone_number": "252-672-8742",
            "fax_number": "252-638-3742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "NIADRA",
        "middle_name": "BLOUNT",
        "credential": "MS, LCAS, CCS, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15315",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCASA20451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIADRA",
            "last_name": "BLOUNT",
            "middle_name": "CHANTE",
            "credential": "LCASA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Chocowinity, NC
• Providers in Chocowinity, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.