Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna R Desupinski

Individual provider Mental Health Counselor · NPI 1598013591

Joanna R Desupinski is a Clinical Psychologist in Wake Forest, North Carolina. Qualified in 2013, 13 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone: (919) 263-9592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4545 S 86th St, Lincoln, NE 68526-9227 — (402) 483-6990

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4832 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1598013591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2012
Last updated in NPPESOctober 23, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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