Provider Demographics
NPI:1639142854
Name:GETZ, JAMIE MICHELLE CLAUS (PHD, LCMHC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:MICHELLE CLAUS
Last Name:GETZ
Suffix:
Gender:F
Credentials:PHD, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 TURNSTONE CT
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-7156
Mailing Address - Country:US
Mailing Address - Phone:910-989-1100
Mailing Address - Fax:910-346-2393
Practice Address - Street 1:15235 HWY 17 N.
Practice Address - Street 2:UNIT B
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-2844
Practice Address - Country:US
Practice Address - Phone:910-541-4114
Practice Address - Fax:910-399-6598
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC4973101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102929Medicaid