Active NPI
Aisha Al-Qimlass, PHD
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1790012011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A8753
- Practice address
- 105 S Bloodworth St
Raleigh, NC 27601-1503 - Phone
- (919) 977-0087
- NPI assigned
- Nov 6, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A8753 | NC | Primary |
Addresses
Primary practice location
105 S Bloodworth St
Raleigh, NC 27601-1503
Mailing address
105 S Bloodworth St
Raleigh, NC 27601-1503
Phone (919) 977-0087
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8753 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creasman Counseling, PLLC | Professional | Current | Accepting new patients |
Locations
105 S Bloodworth St
Raleigh, NC 27601
Phone (919) 977-0087
715 W Morgan St
Raleigh, NC 27603
Phone (919) 823-6724
115 S Saint Marys St
Ste D
Raleigh, NC 27603
Phone (919) 606-2699
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 and National Provider Directory roles.
-
- Professional Counselor
- Raleigh, NC
- NPI 1790152254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1790012011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S BLOODWORTH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011503",
"telephone_number": "919-977-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BLOODWORTH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011503",
"telephone_number": "919-977-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-QIMLASS",
"first_name": "AISHA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A8753",
"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 Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.