Active NPI
Anita Perry Christison, M.ED., LPC
- Mental Health Counselor
- Roanoke Rapids, NC
National Provider Identifier
1891048674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9613
- Practice address
- 608 Jackson St Ste F
Roanoke Rapids, NC 27870-2656 - Phone
- (252) 308-0744
- Fax
- (252) 308-0092
- NPI assigned
- Oct 18, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A9613 | NC | |
| Mental Health Counselor | 101YM0800X | 9613 | NC | Primary |
Addresses
Primary practice location
608 Jackson St Ste F
Roanoke Rapids, NC 27870-2656
Mailing address
PO Box 667
603 West Main Street
Woodland, NC 27897
Phone (252) 209-1370
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9613 | NC | MD | Counselor |
| 9613 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telos Health Systems NC PLLC | Current | Accepting new patients | |
| Valley Center for Life Enrichment, PLLC | Mental Health | Past | Accepting new patients |
| Shauna K Daniels, LCSW | Past | Accepting new patients |
Locations
550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
-
- Clinical Social Worker
- Roanoke Rapids, NC
- NPI 1508205626
-
- Mental Health Counselor
- Roanoke Rapids, NC
- NPI 1831464379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1891048674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"address_2": "603 WEST MAIN STREET",
"city": "WOODLAND",
"state": "NC",
"postal_code": "27897",
"telephone_number": "252-209-1370",
"fax_number": "252-587-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 JACKSON ST STE F",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278702656",
"telephone_number": "252-308-0744",
"fax_number": "252-308-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTISON",
"first_name": "ANITA",
"middle_name": "PERRY",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A9613",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.