Adeeba Issa, LPC-A, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11714 Issued in NC

Practice address

731 Tilghman Dr
Dunn, NC 28334-5507

Phone

(910) 249-4219

NPI assigned

Jul 7, 2015

Last updated

Aug 17, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• MD Psychiatry and Emotional Health

  • Psychiatry Physician
  • Cary, NC
  • NPI 1548875883
  Medicare reassignment Care Compare group NPD
• Freedom Psychiatry Services PLLC

  • Child & Adolescent Psychiatry Physician
  • Raleigh, NC
  • NPI 1699279448
  NPD (past)
• Tricare Counseling & Consulting, Inc.

  dba Tricare Child & Family Counseling

  • Community/Behavioral Health Agency
  • Dunn, NC
  • NPI 1225343502
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1740663863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013805",
            "telephone_number": "757-277-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345507",
            "telephone_number": "910-249-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "ADEEBA",
        "credential": "LPC-A, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Igunbor, OTR
• Rodney Lamar Ingram, OTPT
• Integrative Wellness Partners, Inc
• Interventional Pain Center, PLLC
• Melissa Wooten Isenhour
• Scott Carl Jaros, MD
• Antionette B Jennings, LCSW-A
• Angela Sue Jensen, MS/CCC-SLP/L
• Kristin Marie Jensen, PTA
• Mary Jernigan, LPC

• Professional Counselor in Dunn, NC
• Providers in Dunn, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.