Active NPI
Colleen Lennon, MED
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1942861489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14920
- Practice address
- 7424 Chapel Hill Rd Ste 209
Raleigh, NC 27607-5041 - Phone
- (919) 395-6554
- Fax
- (207) 955-5778
- NPI assigned
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14920 | NC | Primary |
Addresses
Primary practice location
7424 Chapel Hill Rd Ste 209
Raleigh, NC 27607-5041
Mailing address
1209 N King Charles Rd
Raleigh, NC 27610-1019
Phone (919) 395-6554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14920 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1942861489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 N KING CHARLES RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101019",
"telephone_number": "919-395-6554",
"fax_number": "207-955-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7424 CHAPEL HILL RD STE 209",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075041",
"telephone_number": "919-395-6554",
"fax_number": "207-955-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "COLLEEN",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.