Individual provider Active NPI

Teshia J'Wan Utley-McKoy, M.S.

  • Mental Health Counselor
  • Fuquay Varina, NC
National Provider Identifier
1528457611
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10446 Issued in NC
Practice address
324 Sneed LN
Fuquay Varina, NC 27526-4915
Phone
(919) 815-8778
NPI assigned
Jan 13, 2015
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10446 NC Primary

Addresses

Primary practice location

324 Sneed LN
Fuquay Varina, NC 27526-4915

Mailing address

PO Box 1409
Fuquay Varina, NC 27526-1409
Phone (919) 815-8778

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1528457611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1409",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261409",
            "telephone_number": "919-815-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SNEED LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264915",
            "telephone_number": "919-815-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY-MCKOY",
        "first_name": "TESHIA",
        "middle_name": "J'WAN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.