Dunleavy Family Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DUNLEAVY FAMILY THERAPY, PLLC

Practice address

950 Graves St Ste G
Kernersville, NC 27284-3246

Phone

(336) 497-5271

Fax

(336) 360-6724

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Heather L Dunleavy, MA, MED, LMFT, ASDCSNPI 1386197002

Title

Therapist/Ceo

Phone

(336) 497-5271

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather L Dunleavy, LMFT

  • Marriage & Family Therapist
  • Kernersville, NC
  • NPI 1386197002
  NPD Authorized official
• Andrew Jonathan Dunleavy, MSW, LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1801347794
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1811567977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GRAVES ST STE G",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843246",
            "telephone_number": "336-497-5271",
            "fax_number": "336-360-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GRAVES ST STE G",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843246",
            "telephone_number": "336-497-5271",
            "fax_number": "336-360-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLEAVY FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "DUNLEAVY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "336-497-5271",
        "authorized_official_credential": "MA, MED, LMFT, ASDCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MFT LICENSURE BOARD",
            "identifier": "1930",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386197002",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Duggan, P.T.
• Tori Beth Duggins
• Sianni M Duncan-Wright
• Christina Dunford
• Melisa Harper Dunlap
• Heather L Dunleavy, LMFT
• Madison Dunn
• Dunns Transport Services
• Meredith Paige Dunzweiler, AGNP-C
• Lauren Duquette, RDN, LDN

• Marriage & Family Therapist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.