Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nannette Smith Funderburk, PHD, LCMHCS

Individual provider Mental Health Counselor · NPI 1720131576

Dr. Nannette Smith Funderburk, PHD, LCMHCS is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3612 Cranbrook Dr
Fayetteville, NC 28301-2554
Phone: (336) 285-7173
Fax: (336) 285-7174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5348S (NC)

Record details

NPI number1720131576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCMHCS
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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