Active NPI
John Blaine Jarema, MA, CRC, LPC, CLCP
- Rehabilitation Practitioner
- Wake Forest, NC
National Provider Identifier
1235253451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 3773
- Practice address
- 1205 Chilmark Ave
Wake Forest, NC 27587-5336 - Phone
- (919) 570-9814
- Fax
- (919) 570-9782
- NPI assigned
- Mar 16, 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 3773 | NC | Primary |
Addresses
Primary practice location
1205 Chilmark Ave
Wake Forest, NC 27587-5336
Mailing address
1205 Chilmark Ave
Wake Forest, NC 27587-5336
Phone (919) 570-9814
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3773 | NC | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235253451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 CHILMARK AVE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875336",
"telephone_number": "919-570-9814",
"fax_number": "919-570-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 CHILMARK AVE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875336",
"telephone_number": "919-570-9814",
"fax_number": "919-570-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAREMA",
"first_name": "JOHN",
"middle_name": "BLAINE",
"name_prefix": "Mr.",
"credential": "MA, CRC, LPC, CLCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NC",
"license": "3773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, 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.