Active NPI
Natasha M. Nunes, LCMHCS
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1740358571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4781S
- Practice address
- 3205 Randall Pkwy Ste 119
Wilmington, NC 28403-2567 - Phone
- (910) 520-8902
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 4781 | NC | |
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | 4781S | NC | Primary |
Addresses
Primary practice location
3205 Randall Pkwy Ste 119
Wilmington, NC 28403-2567
Mailing address
64 Bolick Rd
Burgaw, NC 28425-4219
Phone (910) 520-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142FC | Other | NC | BCBS PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4781S | NC | MD | Mental Health Counselor |
| 4781 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1740358571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BOLICK RD",
"city": "BURGAW",
"state": "NC",
"postal_code": "284254219",
"telephone_number": "910-520-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 RANDALL PKWY STE 119",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032567",
"telephone_number": "910-520-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNES",
"first_name": "NATASHA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCMHCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4781",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4781S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "142FC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.