Active NPI
Thomas R Buffkin, LPC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1003972563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4311
- Practice address
- 1013 N Elm St Apt A4
Greensboro, NC 27401-1431 - Phone
- (336) 272-7765
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4311 | NC | Primary |
Addresses
Primary practice location
1013 N Elm St Apt A4
Greensboro, NC 27401-1431
Mailing address
1013 N Elm St Apt A4
Greensboro, NC 27401-1431
Phone (336) 580-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102386 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1003972563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 N ELM ST APT A4",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011431",
"telephone_number": "336-580-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N ELM ST APT A4",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011431",
"telephone_number": "336-272-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFKIN",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102386",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.