Aundrea Dejonge

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19540 Issued in NC

Practice address

250 N Trade St
Matthews, NC 28105-9449

Phone

(980) 397-2519

NPI assigned

Jan 24, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Longleaf Counseling PLLC

  • Mental Health Counselor
  • Matthews, NC
  • NPI 1639931769
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1780446807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 LONGLEAF CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281047890",
            "telephone_number": "980-397-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059449",
            "telephone_number": "980-397-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONGE",
        "first_name": "AUNDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elise Deaton
• Marisa Deaton
• Hannah Deberry, FNP-C
• Amanda Lee Deel
• Dixon Remy Dehority, MD
• Sarah Lynn Demaison, MSW, LCSW
• April Demarco, RN
• Mary Elizabeth Denby, BSPHARM
• Emma Denson
• Dermatology Associates of Charlotte

• Mental Health Counselor in Matthews, NC
• Providers in Matthews, 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 Jan 24, 2024; 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.