Active NPI
Adrianne Teague, LPC, LCASA
- Professional Counselor
- Roanoke Rapids, NC
National Provider Identifier
1568818912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12307
- Practice address
- 60 N Highway 125
Roanoke Rapids, NC 27870 - Phone
- (252) 537-6619
- NPI assigned
- May 4, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A12307 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23222 | NC | |
| Professional Counselor | 101YP2500X | 12307 | NC | Primary |
Addresses
Primary practice location
60 N Highway 125
Roanoke Rapids, NC 27870
Mailing address
14526 Watson Seed Farm Rd.
Whitakers, NC 27891
Phone (252) 813-2077
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 |
|---|---|---|---|
| A12307 | NC | MD | Counselor |
| 23222 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1568818912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14526 WATSON SEED FARM RD.",
"city": "WHITAKERS",
"state": "NC",
"postal_code": "27891",
"telephone_number": "252-813-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N HIGHWAY 125",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "27870",
"telephone_number": "252-537-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "ADRIANNE",
"credential": "LPC, LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A12307",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "23222",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- Marqu'E Sutton, LCSWA, LCASA
- Larry Swinton, LCAS-A
- Robert E Sykes Jr., LMFT
- Karen Holloway Tanner, PTA
- Ericka Taylor-Daniel, MSN,APRN,PMHNP-BC,
- Chanchamma Thannikkary, M.D.
- The Mental Health Association in North Carolina Inc (Halifax SE)
- The Mental Health Association in North Carolina, Inc (Halifax CST)
- The Mental Health Association in North Carolina, Inc (Halifax ACTT)
- The Mental Health Association in North Carolina, Inc (Halifax ACTT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.