Individual provider Active NPI

Jehanne M Gheith, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1841671302
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009360 Issued in NC
Practice address
112 Swift Ave
Durham, NC 27705-4883
Phone
(919) 452-9286
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P005966 NC
Clinical Social Worker 1041C0700X C009360 NC Primary

Addresses

Primary practice location

112 Swift Ave
Durham, NC 27705-4883

Mailing address

400 Anita St
Durham, NC 27701-1414
Phone (919) 452-9286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128001160 NC Practitioner - Clinical Social Worker 3870872310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Swift Ave
Durham, NC 27705-4883
Phone (919) 452-9286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P005966NCMDMental Health Counselor
C009360NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loss Into Topaz: Counseling Specializing in Grief and Pet Loss, PLLC Clinical CurrentSince Sep 20, 2016 Accepting new patients

Locations

112 Swift Ave
Durham, NC 27705
Phone (919) 416-9656

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.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1841671302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANITA ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011414",
            "telephone_number": "919-452-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SWIFT AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054883",
            "telephone_number": "919-452-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEITH",
        "first_name": "JEHANNE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P005966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.