Wanda Jean Fraser, BA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CCSI20285 Issued in NC

Practice address

11 Union St S Ste 207
Concord, NC 28025-1004

Phone

(704) 837-0084

Fax

(704) 956-2325

NPI assigned

Sep 26, 2011

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Wanda Jean Fraser Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jrtransi, LLC

  • Community/Behavioral Health Agency
  • Huntersville, NC
  • NPI 1528584398
  NPD (past) Authorized official
• Family Treatment and Therapuetic Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1396196358
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1861775827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UNION ST S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255059",
            "telephone_number": "304-960-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 207",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251004",
            "telephone_number": "704-837-0084",
            "fax_number": "704-956-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10935 Emerald Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280782419",
            "country_code": "US",
            "telephone_number": "304-960-9348",
            "fax_number": "919-671-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER",
        "first_name": "WANDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CCSI20285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "FRASER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tanisha Marie Franklin-Dacosta
• Bethany Franklin
• John David Franklin, M.D.
• Morgan Taylor Franklin, M.S., CCC-SLP
• Dawn R. Franks
• Evan S Frasure III, PHARMD
• David William Frate, DO
• Andrea R Frazier, LPN
• Chasidy Frazier
• Lacaya Frazier

• Addiction (Substance Use Disorder) Counselor in Concord, NC
• Providers in Concord, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.