JOANNA R DESUPINSKI
NPI 1598013591
Psychologist - Clinical in Wake Forest, NC

Active since August 22, 2012PECOS Enrolled
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587(919) 263-9592 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanna R Desupinski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNA R DESUPINSKI (NPI 1598013591) is an individual clinical provider in Wake Forest, North Carolina, licensed in North Carolina (4832) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lincoln, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598013591
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJOANNA R DESUPINSKI
Location Address10580 LIGON MILL RD STE 210Wake Forest, NC 27587-6090
Mailing Address4545 S 86th StLincoln, NE 68526-9227 · (402) 483-6990 · Fax (402) 483-7045
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 22, 2012
Last NPPES UpdateOctober 23, 2018
NPI 1598013591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 4832
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10580 LIGON MILL RD STE 210, Wake Forest, NC 27587

Secondary Practice Location 1

Location 14545 S 86th StLincoln, NE 68526-9227 · Phone (402) 483-6990 · Fax (402) 483-7045

Other Identifiers 1

Medicaid1598013591NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joanna R Desupinski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103129218
PECOS Enrollment IDI20160125000554
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Counselor
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Psychologist
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Marriage & Family Therapist
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Marriage & Family Therapist
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Counselor (Mental Health)
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Psychologist (Health)
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587
Counselor (Mental Health)
10580 LIGON MILL RD STE 210
WAKE FOREST, NC 27587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanna Desupinski's NPI number?

The NPI number for Joanna Desupinski is 1598013591. It was assigned to this individual provider in the NPPES registry on August 22, 2012.

Where is Joanna Desupinski located?

Joanna Desupinski practices at 10580 Ligon Mill Rd Ste 210, Wake Forest, NC 27587. The listed phone number is (919) 263-9592.

What is Joanna Desupinski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joanna Desupinski enrolled in Medicare?

Yes. Joanna Desupinski is registered in the Medicare PECOS enrollment system.

What insurance does Joanna Desupinski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Joanna Desupinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joanna Desupinski was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.