Wytina Shavonne Ross, LPN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3925 N Duke St
Suite102
Durham, NC 27704-1780

Phone

(919) 479-9050

Fax

(919) 479-9055

NPI assigned

Mar 21, 2009

Last updated

Mar 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Reaching Out

  • Mental Health Counselor
  • Durham, NC
  • NPI 1649412495
  Authorized official Same address or phone
• Carrington Home Care, LLC

  • In Home Supportive Care Agency
  • Durham, NC
  • NPI 1790306397
  NPD

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237593600000",
    "number": "1982845913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST",
            "address_2": "SUITE102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-479-9050",
            "fax_number": "919-479-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST",
            "address_2": "SUITE102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-479-9050",
            "fax_number": "919-479-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WYTINA",
        "middle_name": "SHAVONNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Marks Ross, MSW, LCSWA
• Meredith Brooke Ross
• Renisha Michelle Ross
• Roman Ross, ANP-C
• Ta-Nisha N Ross, NCC, LPC, LCAS-A
• Melissa Ann Huberman Rossborough, MD
• Paige Rossman
• Jennifer Rotella, LCSW
• Roth & Powell IV DDS PA (Carolina Dental Arts Durham)
• Christopher John Roth, M.D.

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; 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.