Selena Waite, LPA, LCMHC, HSP-PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11931 Issued in NC

Practice address

2310 S Miami Blvd Ste 142
Durham, NC 27703-4900

Phone

(984) 212-7373

NPI assigned

Jul 28, 2016

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Applied Behavior Analytics ABA

  • Behavior Analyst
  • Durham, NC
  • NPI 1942986724

  Psychologist

  NPD Authorized official
• Waite Psychological & Therapeutic Services

  • Psychologist
  • Durham, NC
  • NPI 1093378382

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1730632506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 NEBO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074231",
            "telephone_number": "919-884-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 142",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034900",
            "telephone_number": "984-212-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Nebo St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277074231",
            "country_code": "US",
            "telephone_number": "984-212-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITE",
        "first_name": "SELENA",
        "credential": "LPA, LCMHC, HSP-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11931",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5371",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Depalma Waite, LCMHC-A; CRC
• Heather Margaret Waite, MSW
• Jordan Christopher Waite, PHYSICAL THERAPIST
• Kathleen Waite, M.D.
• Selbourne Waite
• Anna Waites
• Lauren Ann Waits
• Wake Counseling Associates, PLLC
• Wake Diagnostics Inc (Wake Diagnostics)
• Wake Specialty Physicians LLC (WakeMed MyCare 365 Primary & Urgent Care Hope Valley)

• Mental Health Counselor in Durham, NC
• Providers in Durham, 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 28, 2023; 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.