Individual provider Active NPI

Christine Lynn Jeffreys, LCMHA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1760089825
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15032 Issued in NC
Practice address
3532 Hamilton Mill Dr
Raleigh, NC 27616-9007
Phone
(919) 628-9887
NPI assigned
Oct 2, 2020
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A15032 NC
Mental Health Counselor 101YM0800X A15032 NC Primary

Addresses

Primary practice location

3532 Hamilton Mill Dr
Raleigh, NC 27616-9007

Mailing address

3532 Hamilton Mill Dr
Raleigh, NC 27616-9007
Phone (919) 628-9887

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Jeffreys Hope Center Mental Health CurrentSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1760089825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 HAMILTON MILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169007",
            "telephone_number": "919-628-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 HAMILTON MILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169007",
            "telephone_number": "919-628-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "credential": "LCMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A15032",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.