Active NPI
Audrey Arzamendi, MS, LCMHC-S. LCAS
- Professional Counselor
- Jacksonville, NC
National Provider Identifier
1679083273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- S11376
- Practice address
- 200 Tarpon TRL
Jacksonville, NC 28546-5287 - Phone
- (910) 938-1114
- NPI assigned
- Oct 9, 2017
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC20465 | NC | |
| Mental Health Counselor | 101YM0800X | S11376 | NC | |
| Professional Counselor | 101YP2500X | S11376 | NC | Primary |
Addresses
Primary practice location
200 Tarpon TRL
Jacksonville, NC 28546-5287
Mailing address
104 Green Tree LN
Newport, NC 28570-8815
Phone (910) 265-1719
Other names 1
- Audrey Iwerks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Tarpon TRL
Jacksonville, NC 28546-5287
Phone (910) 938-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC20465 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| S11376 | NC | MD | Mental Health Counselor |
| 11376 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Neuropsychiatric Center, PA | Current | Accepting new patients | |
| Coastal Southeastern United Care LLC | Mental Health | Past | Accepting new patients |
Locations
200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139
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.
-
- Psychiatry Physician
- Jacksonville, NC
- NPI 1184737462
-
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1346477403
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1679083273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 GREEN TREE LN",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285708815",
"telephone_number": "910-265-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TARPON TRL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465287",
"telephone_number": "910-938-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARZAMENDI",
"first_name": "AUDREY",
"credential": "MS, LCMHC-S. LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LC20465",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S11376",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "S11376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "IWERKS",
"credential": "MS, LCMHC, LCAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.