Josiah Lavika Debnam, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095

Phone

(919) 900-7438

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Restoration and Wellness Counseling Services PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1346837358

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Fernandez Community Center, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1033465075

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1760994743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 LAKINSVILLE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106910",
            "telephone_number": "919-791-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 SIX FORKS RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155095",
            "telephone_number": "919-900-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNAM",
        "first_name": "JOSIAH",
        "middle_name": "LAVIKA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Deats
• Annie Deaver
• Olubunmi Christiana Debayo-Doherty
• Tammy Marie Debevoise, DPT
• Debnam Clinic PA
• Marie Georgette Debnam, MD
• Rosie Debnam, LPN
• Darren Lee Debo, LCSW
• Patricia Anne Deboer, MSW LCSW
• Zachary Deboer

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Sep 3, 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.