Jon William Parmley Lentz, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5526 Issued in NC

Practice address

115 N Duke St Ste 1B
Durham, NC 27701-2187

Phone

(919) 286-3453

NPI assigned

Jun 1, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Street Clinical Associates, PA

  • Psychologist
  • Durham, NC
  • NPI 1922035260
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1225696552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 ENGLEWOOD AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054113",
            "telephone_number": "401-212-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N DUKE ST STE 1B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012187",
            "telephone_number": "919-286-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "JON WILLIAM",
        "middle_name": "PARMLEY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Lenfestey, M.D.
• Sa'Naa Lenoir, TRADITIONAL NATURAL
• Kari Fitzgerald Lenox, PH.D.
• Carolyn Marie Lensch, LCPC
• Hedwig Bertha Lent-Bews, OTR/L, MS
• Trevor Lentz, PT, PHD
• Heather Freddoso Lenzmeier, CRNA
• Karena Leo, MS-(PHD GRAD AUGUST)
• Isabel Leon
• Austin Leonard

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.