Individual provider Active NPI

Nequeela Nevette Deas-Blanton, MED, NCC, LPCA

  • Mental Health Counselor
  • Kannapolis, NC
National Provider Identifier
1720331267
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
119 West Ave
Kannapolis, NC 28081-4332
Phone
(704) 649-0838
NPI assigned
Oct 22, 2012
Last updated
Jun 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X A9618 NC
Professional Counselor 101YP2500X A90618 NC

Addresses

Primary practice location

119 West Ave
Kannapolis, NC 28081-4332

Mailing address

119 West Ave
Kannapolis, NC 28081-4332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025000543 NC Practitioner - Mental Health Counselor 2567995806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A90618NCMDProfessional Counselor
A9618NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Sep 30, 2024 Accepting new patients
Monarch Current Accepting new patients
Monarch CurrentSince Sep 30, 2024 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370649600000",
    "number": "1720331267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814332",
            "telephone_number": "704-649-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAS-BLANTON",
        "first_name": "NEQUEELA",
        "middle_name": "NEVETTE",
        "credential": "MED, NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9618",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A90618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

Verify at the official NPI Registry.