Active NPI
Loren Bahouth
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1295142990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010300
- Practice address
- 170 Manning Dr Ste 1116
Chapel Hill, NC 27514-4221 - Phone
- (984) 974-3844
- NPI assigned
- Jul 15, 2014
- Last updated
- Apr 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C010300 | NC | Primary |
Addresses
Primary practice location
170 Manning Dr Ste 1116
Chapel Hill, NC 27514-4221
Mailing address
170 Manning Dr Ste 1116
Chapel Hill, NC 27514-4221
Other practice location 1
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Other names 1
- Loren Bahouth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbahouth562727@direct.UNC.nchie.net | Direct |
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 |
|---|---|---|---|
| C010300 | NC | MD | Clinical Social Worker |
Interoperability endpoints
- lbahouth562727@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1295142990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MANNING DR STE 1116",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MANNING DR STE 1116",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144221",
"telephone_number": "984-974-3844"
}
],
"practiceLocations": [
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"fax_number": "919-251-9008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAHOUTH",
"first_name": "LOREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbahouth562727@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "170 Manning Dr Ste 1116",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LOREN",
"last_name": "BAHOUTH",
"credential": "LOREN BARTELS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.