Active NPI
Jessie Merrinda Sell, LMFT
- Marriage & Family Therapist
- Raleigh, NC
National Provider Identifier
1992029805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1268
- Practice address
- 270 Horizon Dr
Raleigh, NC 27615-4922 - Phone
- (919) 845-0623
- Fax
- (919) 488-1716
- NPI assigned
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1268 | NC | Primary |
Addresses
Primary practice location
270 Horizon Dr
Raleigh, NC 27615-4922
Mailing address
270 Horizon Dr
Raleigh, NC 27615-4922
Phone (919) 845-0623
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 |
|---|---|---|---|
| 1268 | 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": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1992029805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 HORIZON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154922",
"telephone_number": "919-845-0623",
"fax_number": "919-488-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 HORIZON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154922",
"telephone_number": "919-845-0623",
"fax_number": "919-488-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "JESSIE",
"middle_name": "MERRINDA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1268",
"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 Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.