Active NPI
Deangila Jenall Johnson, CADC-R
- Addiction (Substance Use Disorder) Counselor
- Lumberton, NC
National Provider Identifier
1851645972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CADC-30672
- Practice address
- 8570 NC Highway 211 E
Lumberton, NC 28358-7763 - Phone
- (910) 751-3036
- Fax
- (910) 739-4681
- NPI assigned
- Oct 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC-30672 | NC | Primary |
Addresses
Primary practice location
8570 NC Highway 211 E
Lumberton, NC 28358-7763
Mailing address
8570 North Carolina 211 E
Lumberton, NC 28358-1205
Phone (910) 751-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200535 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADC-30672 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harambee Consulting Firm | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Wiani LLC Dba Anchorpointe Recovery and Wellness | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lumberton, NC
- NPI 1417741018
-
- Addiction (Substance Use Disorder) Counselor
- Lumberton, NC
- NPI 1275464281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1851645972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8570 NORTH CAROLINA 211 E",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283581205",
"telephone_number": "910-751-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8570 NC HIGHWAY 211 E",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283587763",
"telephone_number": "910-751-3036",
"fax_number": "910-739-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEANGILA",
"middle_name": "JENALL",
"credential": "CADC-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CADC-30672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200535",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.