CHIQUITTA WILLIAMS LESENE (NPI# 1861091662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861091662 |
Entity Type | Individual |
Full Name | CHIQUITTA WILLIAMS LESENE |
Credential | MS |
Practice Address |
407 E Fremont Street Burgaw NC 28425 |
Mailing Address |
705 Kiwi Stone Cir Jacksonville NC 28546-0066 |
Practice Telephone | 9102711532 |
Mailing Telephone | 9102711532 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 172V00000X | Community Health Worker | Other Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 174H00000X | Health Educator | Other Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
N | 175T00000X | Peer Specialist | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
705 Kiwi Stone Cir, Jacksonville, NC 285460066 | 9102711532 |
Street Address |
407 E FREMONT STREET |
City | BURGAW |
State | NC |
Zip Code | 28425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
1447525019 | David Neil Downing | Pharmacist | Us Hwy 117 S, Burgaw, NC 28425 | 2012-03-15 |
Find all providers in zip 28425 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336401215 | Sandra Cherry | Counselor | 400 N Wright St, Burgaw, NC 28425-5410 | 2012-06-15 |
1225160922 | Susan Marie Schirick | Counselor | 309 Progress Dr, Burgaw, NC 28425 | 2007-03-09 |
1619491396 | Sharinetta Nicole Murray | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2017-08-03 |
1538524335 | Sixta T Hall | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2015-12-21 |
1215208095 | Greg Hilgert | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2012-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
Find all providers with the same taxonomy |
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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.