Ebony A Rao, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37AC00172000 Issued in NJ

Practice address

11330 Vanstory Dr
Huntersville, NC 28078

Phone

(980) 494-3011

NPI assigned

Sep 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ebony Keith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1891121869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 FOREST GROVE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691034",
            "telephone_number": "732-640-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 VANSTORY DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "980-494-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "EBONY",
        "middle_name": "A",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-22",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00172000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "KEITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Alan Quist, DPM
• Maryrose Rafferty
• Robert Mark Ramsey, ATC, LAT
• Melissa Lauren Ranallo, PA-C
• Carol A Ranfone, M.A, SLP
• Shanti Gundavaram Rao, MD
• Sylwia Rathbun
• Rebecca Rawl, MD
• Demetria Renee Watford Rawlinson, MD
• Raymond J. Haigney II, D.D.S., P.a.

• Professional Counselor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.