Active NPI
Deshana Norris, LCMHCA
- Mental Health Counselor
- Lincolnton, NC
National Provider Identifier
1629957709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21916
- Practice address
- 3970 King Wilkinson Rd
Lincolnton, NC 28092-8191 - Phone
- (704) 736-1394
- Fax
- (704) 736-4914
- NPI assigned
- Sep 2, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21916 | NC | Primary |
Addresses
Primary practice location
3970 King Wilkinson Rd
Lincolnton, NC 28092-8191
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904
Other practice location 1
3615 Azalea Ridge Dr
Mount Holly, NC 28120-1301
Phone (704) 649-6824 ext. 00000
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 |
|---|---|---|---|
| A21916 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc | Current | Accepting new patients |
Locations
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
3970 King Wilkinson Rd
Lincolnton, NC 28092
Phone (704) 736-1394
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Lincolnton, NC
- NPI 1275494312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1629957709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 KING WILKINSON RD",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280928191",
"telephone_number": "704-736-1394",
"fax_number": "704-736-4914"
}
],
"practiceLocations": [
{
"address_1": "3615 Azalea Ridge Dr",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NC",
"postal_code": "281201301",
"country_code": "US",
"telephone_number": "704-649-6824 x00000",
"fax_number": "704-649-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORRIS",
"first_name": "DESHANA",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.