Active NPI
Lisa Deciantis, LPC
- Counselor
- Durham, NC
National Provider Identifier
1548542772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 249 E NC Highway 54
Suite 320
Durham, NC 27713-7512 - Phone
- (919) 753-1080
- Fax
- (919) 753-1089
- NPI assigned
- Sep 14, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
249 E NC Highway 54
Suite 320
Durham, NC 27713-7512
Mailing address
PO Box 278
Rolesville, NC 27571-0278
Phone (401) 486-8357
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1548542772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275710278",
"telephone_number": "401-486-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54",
"address_2": "SUITE 320",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137512",
"telephone_number": "919-753-1080",
"fax_number": "919-753-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECIANTIS",
"first_name": "LISA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.