JOCELYN JONES WALLACE (NPI# 1851715171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851715171 |
| Entity Type | Individual |
| Full Name | JOCELYN JONES WALLACE |
| Credential | LCAS-A, LPC-A |
| Practice Address |
1203 Kent Rd Raleigh NC 27606-1977 |
| Mailing Address |
108 Maryland Dr La Grange NC 28551-9107 |
| Practice Telephone | 9197979544 |
| Practice Fax Number | 9198030992 |
| Mailing Telephone | 9192233202 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20038 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
A10754 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845600 | Jocelyn Diane Wallace | Physical Therapist | 1830 Radius Dr Apt 910, Hollywood, FL 33020-7716 | 2017-07-26 |
| Street Address |
1203 KENT RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27606-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861636698 | Reaching Your Goals | Community/Behavioral Health | 1203 Kent Rd, Raleigh, NC 27606-1977 | 2009-04-23 |
| 1326301193 | Reaching Your Goals | Community/Behavioral Health | 1203 Kent Rd, Raleigh, NC 27606-1977 | 2012-06-18 |
| 1659663961 | Reaching Your Goals | Case Management | 1203 Kent Rd, Raleigh, NC 27606-1977 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1083250831 | The Lee Way Therapy & Consulting, Pllc | Social Worker | 4909 Waters Edge Dr., Suite 200a, Raleigh, NC 27606 | 2019-11-26 |
| 1811455488 | Inimfon E Ubom | Student in an Organized Health Care Education/Training Program | 521 The Greens Cir Apt 242, Raleigh, NC 27606 | 2019-03-03 |
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1801348891 | John Riel Manalansan Garcia | Specialist/Technologist | 2411 Dunn Ave, Raleigh, NC 27606 | 2016-10-26 |
| 1134599889 | Klingensmith & Associates, Pllc | Dentist | 1009 Capability Dr., Bldg. II. Ste 100, Raleigh, NC 27606 | 2015-10-06 |
| 1487038626 | Turning Leaf Therapy Services, Pllc | Social Worker | 4909 Waters Edge Drive 200d, Raleigh, NC 27606 | 2015-07-17 |
| 1528448743 | Ashley Francis Wright | Counselor | 1601 Jones Franklin Road, Suite 104, Raleigh, NC 27606 | 2015-06-03 |
| 1598172645 | Amalya Kali Wright | Emergency Medical Technician, Basic | 5315 Dana Dr Apt F, Raleigh, NC 27606 | 2014-07-21 |
| 1710312566 | Deirdre Rushin | Counselor | 1821 Avent Ridge Rd, Apt 104, Raleigh, NC 27606 | 2013-09-12 |
| Find all providers in zip 27606 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1669084406 | Battle Mental Health, Pllc | Counselor | 8311 Brier Creek Pkwy Ste 105-167, Raleigh, NC 27617-7328 | 2020-08-22 |
| 1093327561 | Danielle Curley | Counselor | 11030 Cayden Trl Apt 3h, Raleigh, NC 27614-7393 | 2020-08-17 |
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1578109443 | Melissa Lancaster Mccurry | Counselor | 12201 Lockhart Ln, Raleigh, NC 27614-9406 | 2019-11-26 |
| 1215582432 | Emily Trapp | Counselor | 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 | 2019-08-05 |
| 1841858875 | Barry Ray Wallace Jr. | Counselor | 2101 Garner Rd #107, Raleigh, NC 27610-3790 | 2019-06-04 |
| 1689130445 | Adewumi Gabriel Ojo | Counselor | 3204 Cotton Grove Run, Raleigh, NC 27610-6264 | 2019-02-18 |
| 1306310321 | Nakima Mechelle Morrison | Counselor | 5213 Chasteal Trl, Raleigh, NC 27610-6606 | 2019-01-12 |
| 1609347368 | Bailey's Innovation Group | Counselor | 4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800 | 2018-12-06 |
| 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.