Individual provider Active NPI

Jennifer Mafnas

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1992257000
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A8927 Issued in NC
Practice address
1519 Timberrock CT
Fayetteville, NC 28306-1646
Phone
(910) 920-6787
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A8927 NC Primary

Addresses

Primary practice location

1519 Timberrock CT
Fayetteville, NC 28306-1646

Mailing address

1519 Timberrock CT
Fayetteville, NC 28306-1646
Phone (910) 920-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A8927NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tricare Counseling & Consulting, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

731 Tilghman Dr
Dunn, NC 28334
Phone (910) 249-4219

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1992257000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 TIMBERROCK CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061646",
            "telephone_number": "910-920-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 TIMBERROCK CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061646",
            "telephone_number": "910-920-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFNAS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.