Individual provider Active NPI

Nyesha Shanta Robinson, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1629569280
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24570 Issued in NC
Practice address
2530 Meridian Pkwy Ste 2055
Durham, NC 27713-5272
Phone
(919) 672-2407
Fax
(866) 770-5166
NPI assigned
May 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24570 NC Primary

Addresses

Primary practice location

2530 Meridian Pkwy Ste 2055
Durham, NC 27713-5272

Mailing address

2530 Meridian Pkwy Ste 2055
Durham, NC 27713-5272
Phone (919) 672-2407

Other practice location 1

411 Andrews Rd Ste 2055
Durham, NC 27705-2993
Phone (919) 682-5777

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

LicenseStateTypeSpecialty
24570NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Outreach Services, LLC Current Accepting new patients
Greater Outreach Services Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1629569280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 2055",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135272",
            "telephone_number": "919-672-2407",
            "fax_number": "866-770-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 2055",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135272",
            "telephone_number": "919-672-2407",
            "fax_number": "866-770-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Andrews Rd Ste 2055",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052993",
            "country_code": "US",
            "telephone_number": "919-682-5777",
            "fax_number": "866-770-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NYESHA",
        "middle_name": "SHANTA",
        "name_prefix": "Miss",
        "credential": "LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24570",
            "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 May 19, 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.

Verify at the official NPI Registry.