Individual provider Active NPI

Ulisha Fraser Reese, M.S, LPC-A, LCAS-A

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1700334661
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A13538 Issued in NC
Practice address
803 Taylor Ave
High Point, NC 27260-7369
Phone
(252) 259-0999
NPI assigned
Sep 20, 2016
Last updated
Feb 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20412 NC
Professional Counselor 101YP2500X A13538 NC Primary

Addresses

Primary practice location

803 Taylor Ave
High Point, NC 27260-7369

Mailing address

1497 Hamilton Hills Dr
Greensboro, NC 27406-9808
Phone (252) 259-0999

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-20412NCMDAddiction (Substance Use Disorder) Counselor
A13538NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1700334661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 HAMILTON HILLS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069808",
            "telephone_number": "252-259-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607369",
            "telephone_number": "252-259-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER REESE",
        "first_name": "ULISHA",
        "credential": "M.S, LPC-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20412",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

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