Elizabeth Damilola Ishola, NCC, BC-TMH, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15866 Issued in NC

Practice address

4505 Fair Meadows LN Ste 103
Raleigh, NC 27607-6449

Phone

(984) 204-1337

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Awakenings Counseling

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1417459371
  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1649864620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 RIVERWOOD CIR APT 336",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125758",
            "telephone_number": "813-440-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "984-204-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9121 Anson Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155857",
            "country_code": "US",
            "telephone_number": "984-204-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHOLA",
        "first_name": "ELIZABETH",
        "middle_name": "DAMILOLA",
        "credential": "NCC, BC-TMH, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9842041337",
            "affiliation": "Y",
            "affiliationName": "Awakenings Counseling",
            "address_1": "4505 Fair Meadows Ln Ste 103",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Isganitis, MSW, LCSWA
• Shelley K Isgett, MSW
• Georgina Danielle Doumit Ishak, PA-C
• Allyson Lockwood Ishihara, LCSWA
• David Chang Ishizawar, M.D.
• Elaria Mahrous Iskander
• Island Home Care, PLLC
• Lauren Ismail, RPT
• Rami A Ismail
• Samina Ismail, MD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.