Active NPI
Thomas Nathaniel Warren, M.S., L.P.C, N.C.C.
- Professional Counselor
- Rocky Mount, NC
National Provider Identifier
1013057298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4387
- Practice address
- 852 Country Club Rd
Rocky Mount, NC 27804-1706 - Phone
- (252) 937-8304
- Fax
- (252) 937-5520
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 4387 | NC | Primary |
Addresses
Primary practice location
852 Country Club Rd
Rocky Mount, NC 27804-1706
Mailing address
3598 Carriage Farm Rd
Rocky Mount, NC 27804-8244
Phone (252) 937-8304
Other names 1
- Tom Warren
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4387 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013057298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3598 CARRIAGE FARM RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048244",
"telephone_number": "252-937-8304",
"fax_number": "252-937-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 COUNTRY CLUB RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041706",
"telephone_number": "252-937-8304",
"fax_number": "252-937-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "THOMAS",
"middle_name": "NATHANIEL",
"credential": "M.S., L.P.C, N.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOM",
"last_name": "WARREN",
"credential": "MS, LPC, NCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.