David J. Lewis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18026 Issued in NC

Practice address

4000 Wake Forest Rd Ste 280
Raleigh, NC 27609-6859

Phone

(984) 212-0028

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Intentional Mind Counseling Services, P.L.L.C

  • Mental Health Counselor
  • Indian Trail, NC
  • NPI 1417743964
  NPD Authorized official
• Anew U Counseling Services PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1245799824
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1710699004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TYRELL TRL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460137",
            "telephone_number": "910-750-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WAKE FOREST RD STE 280",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096859",
            "telephone_number": "984-212-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Tyrell Trl",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460137",
            "country_code": "US",
            "telephone_number": "910-750-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Lewis, LCSW
• Carrie L Lewis, RN MSN CPNP
• Christina Lei Lewis, PHARM.D.
• Cori Lewis, M.D.
• Danielle Nicole Lewis, WHNP
• Deborah Lyn Lewis, M.D.
• Donyell Genise Lewis
• Edmund Preston Lewis Jr., MSW, LCSWA,
• Emilee Colella Lewis, MD
• Eric Lewis, PTA

• 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 Jul 26, 2024; 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.