MS. DAVA MUSERALLO (NPI# 1649353327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649353327 |
| Entity Type | Individual |
| Full Name | MS. DAVA MUSERALLO |
| Credential | LPCS |
| Practice Address |
3725 National Dr Ste 220 Raleigh NC 27612-4879 |
| Practice Telephone | 9197818370 |
| Practice Fax Number | 9197812266 |
| Mailing Telephone | 9197818370 |
| Mailing Fax Number | 9197812266 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4864 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 142AR | 01 |
| NC | 6102717 | 05 |
| Street Address |
3725 NATIONAL DR STE 220 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687973 | Madeline Alicia Lynch | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2020-10-20 |
| 1790393437 | Lauren Harris Mckenzie | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2020-07-20 |
| 1659998318 | Mary Elizabeth Triplett | Social Worker | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2020-06-29 |
| 1407475981 | Madison Jewel West | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2020-04-14 |
| 1023641495 | Matthew Whatley | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2020-02-13 |
| 1821633413 | Ho Yan Tsuen | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2019-11-07 |
| 1629621735 | Lauren Delaney Madsen | Counselor | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2019-07-17 |
| 1467013169 | Megan Patricia Cooper | Social Worker | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2019-06-24 |
| 1083273494 | Amanda Lieberman Kenney | Social Worker | 3725 National Dr Ste 220, Raleigh, NC 27612 | 2019-06-10 |
| 1033773064 | Nicole Cates | Psychologist | 3725 National Dr Ste 220, Raleigh, NC 27612-4879 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1568098903 | Mona Nour | Counselor | 11428 Royal Amber Way, Raleigh, NC 27614-9896 | 2020-03-17 |
| 1306305578 | Edmund Tayloe Buckman Iv | Counselor | 614 Capital Blvd Apt 213, Raleigh, NC 27603-1157 | 2019-03-18 |
| 1487127403 | Professional Counseling Associates of Cary | Counselor | 2207 Overflow Cir, Raleigh, NC 27610-5359 | 2019-01-03 |
| 1154896611 | Brittany Crystal Smith | Counselor | 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 | 2018-10-10 |
| 1942784079 | Maria Mccrimmon | Counselor | 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 | 2018-09-25 |
| 1093220618 | Roxanne Rosenberg | Counselor | 4508 Olde Stream Ct, Raleigh, NC 27612-3641 | 2017-12-05 |
| 1396260089 | Christina Jones Parker | Counselor | 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 | 2017-08-03 |
| 1023532405 | Tykeena Lee Johnson | Counselor | 4210 Evans Dr, Raleigh, NC 27610-6757 | 2017-07-27 |
| 1144750563 | Esupport, Pllc | Counselor | 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 | 2017-06-18 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.