Deandre Jermaine McCoy

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3950 Fairsted Dr Apt 618
Raleigh, NC 27612-4590

Phone

(252) 259-6459

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: deandrea.mccoy.p1@direct.bdihs.nextgenshare.com

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1902393572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DR APT 618",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124590",
            "telephone_number": "252-259-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DR APT 618",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124590",
            "telephone_number": "252-259-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DEANDRE",
        "middle_name": "JERMAINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani McCormick, MSW, LCSWA
• Ciera Lynn McCosh
• Catherine McCottry
• Sarah McCoy Isaacs
• Alexis J McCoy-Cooper, LCSW
• Destiny Monique Akua McCoy, LMT LE CCA
• Doreatha McCoy
• Keith McCoy, M.D.
• Mallory Lake McCoy, PA-C
• Megan Christina McCoy, PA-C

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, 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 Apr 18, 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.