Jamila Ayoubi, LCMHC, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15838 Issued in NC

Practice address

400 N William St Ste 108
Goldsboro, NC 27530-2802

Phone

(919) 298-2762

Fax

(919) 300-8041

NPI assigned

Jan 21, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2024.

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1811405129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WILLIAM ST STE 108",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302802",
            "telephone_number": "919-298-2762",
            "fax_number": "919-300-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WILLIAM ST STE 108",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302802",
            "telephone_number": "919-298-2762",
            "fax_number": "919-300-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUBI",
        "first_name": "JAMILA",
        "credential": "LCMHC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Goldsboro, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.