JOEL ENNIS (NPI# 1124250766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124250766 |
| Entity Type | Individual |
| Full Name | JOEL ENNIS |
| Practice Address |
3000 Falstaff Rd Raleigh NC 27610-1813 |
| Practice Telephone | 9192501500 |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2009-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1373 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3000 FALSTAFF RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761617 | County of Wake | Case Management | 3000 Falstaff Rd, Raleigh, NC 27610-1813 | 2006-06-25 |
| 1831412493 | Lillian Malinda Jackson | Counselor | 3000 Falstaff Rd, Raleigh, NC 27610-1813 | 2010-03-10 |
| 1386806842 | Sean Stair | Social Worker | 3000 Falstaff Rd, Raleigh, NC 27610-1813 | 2008-06-26 |
| 1669658514 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Psychiatry-network Medical Supports, Raleigh, NC 27610-1813 | 2008-01-10 |
| 1760668610 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Northern Regional Center, Raleigh, NC 27610-1813 | 2008-01-10 |
| 1629253984 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Index 00621410, Raleigh, NC 27610-1813 | 2008-01-07 |
| 1033394390 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Mh/sa Integrated Services, Raleigh, NC 27610-1813 | 2008-01-07 |
| 1679758932 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Spectrum House, Raleigh, NC 27610-1813 | 2008-01-07 |
| 1245415504 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Western Wake, Raleigh, NC 27610-1813 | 2008-01-07 |
| 1063697324 | County of Wake | Community/Behavioral Health | 3000 Falstaff Rd, Supported Employment, Raleigh, NC 27610-1813 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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.