Individual provider Active NPI

Anita Perry Christison, M.ED., LPC

  • Mental Health Counselor
  • Roanoke Rapids, NC
National Provider Identifier
1891048674
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9613 Issued in NC
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

Updated by the provider on May 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429000165 NC Practitioner - Mental Health Counselor 1951827492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A9613NCMDCounselor
9613NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems NC PLLC CurrentSince Apr 7, 2025 Accepting new patients
Valley Center for Life Enrichment, PLLC Mental Health PastSince May 13, 2013 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.

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

Verify at the official NPI Registry.