Active NPI
Debra Rhodes, LCSW
- Counselor
- Jacksonville, NC
National Provider Identifier
1780072736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C008037
- Practice address
- 824 Gum Branch Rd
Suite O
Jacksonville, NC 28540-6272 - Phone
- (910) 265-6625
- NPI assigned
- Dec 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C008037 | NC | Primary |
Addresses
Primary practice location
824 Gum Branch Rd
Suite O
Jacksonville, NC 28540-6272
Mailing address
4816 Richlands Hwy
Jacksonville, NC 28540-3911
Phone (910) 265-6625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008037 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1780072736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 RICHLANDS HWY",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403911",
"telephone_number": "910-265-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 GUM BRANCH RD",
"address_2": "SUITE O",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285406272",
"telephone_number": "910-265-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "DEBRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "C008037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.