Active NPI
Mark Jason Schwarze, PHD, LCMHCS, LCAS
- Professional Counselor
- Boone, NC
National Provider Identifier
1164627683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5480
- Practice address
- 719 Greenway Rd
Boone, NC 28607-3100 - Phone
- (910) 374-6990
- NPI assigned
- Jun 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1088 | NC | |
| Professional Counselor | 101YP2500X | 5480 | NC | Primary |
Addresses
Primary practice location
719 Greenway Rd
Boone, NC 28607-3100
Mailing address
170 Valley Stran Dr
Boone, NC 28607-8890
Phone (910) 374-6990
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1164627683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 VALLEY STRAN DR",
"city": "BOONE",
"state": "NC",
"postal_code": "286078890",
"telephone_number": "910-374-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 GREENWAY RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286073100",
"telephone_number": "910-374-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARZE",
"first_name": "MARK",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHD, LCMHCS, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1088",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.