Active NPI
Douglas Ngatunyi
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1962860155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5023656
- Practice address
- 5105 Marathon LN
Raleigh, NC 27616-0780 - Phone
- (919) 717-7554
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12253 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-21369 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5023656 | NC | Primary |
Addresses
Primary practice location
5105 Marathon LN
Raleigh, NC 27616-0780
Mailing address
5105 Marathon LN
Raleigh, NC 27616-0780
Phone (919) 717-7554
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-21369 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1962860155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 MARATHON LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276160780",
"telephone_number": "919-717-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 MARATHON LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276160780",
"telephone_number": "919-717-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGATUNYI",
"first_name": "DOUGLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12253",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-21369",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5023656",
"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 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.