Deborah Suzanne Wages

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A14582 Issued in NC

Practice address

714 Carolina Ave Ste a
Yadkinville, NC 27055-7760

Phone

(336) 818-0733

Fax

(336) 818-0734

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jodi Province Counseling Services PLLCGroup PAC ID 3678726569, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debra.wages@direct.jpcs.nchie.net

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.

• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435
  Medicare reassignment Care Compare group NPD
• Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Statesville, NC
  • NPI 1427437391
  NPD (past)
• Jodi Province Counseling Services PLLC

  • Community/Behavioral Health Agency
  • State Road, NC
  • NPI 1710366687

  Professional

  NPD (past)
• Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Yadkinville, NC
  • NPI 1790249969
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1689138232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 COLLEGE AVE STE 1",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972700",
            "telephone_number": "336-818-0733",
            "fax_number": "336-818-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CAROLINA AVE STE A",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557760",
            "telephone_number": "336-818-0733",
            "fax_number": "336-818-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Samaritans Ridge Rd Unit 105",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212472",
            "country_code": "US",
            "telephone_number": "336-818-0733 x201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Ashe Central School Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "286408956",
            "country_code": "US",
            "telephone_number": "336-818-0733 x301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 Norwood Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286778201",
            "country_code": "US",
            "telephone_number": "336-818-0733 x401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 College Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilkesboro",
            "state": "NC",
            "postal_code": "286972700",
            "country_code": "US",
            "telephone_number": "336-818-0733 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGES",
        "first_name": "DEBORAH",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14582",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Ridgill Trollinger, LCAS-A
• Jennifer Trotter, OTR/L
• Carla Samantha Vasquez, FNP
• Erin Ventre, LPC
• William E. Virtue, D.D.S.
• Walgreen Co
• Darlene Walker
• Misty W Wallace, PT
• Warden Enterprise, Inc
• Kristy Tatem Weatherly, RN

• Professional Counselor in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.

Verify at the official NPI Registry.