Jonathan Devore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9541 Julian Clark Ave Ste 110
Huntersville, NC 28078-3485

Phone

(980) 358-1366

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1326764531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 VANTAGE POINT LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787110",
            "telephone_number": "704-999-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JULIAN CLARK AVE STE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783485",
            "telephone_number": "980-358-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Nurses of NC Inc
• Anthony Deriso
• Tamara May Dersham, PT
• Vinita Welinkar Deshpande, PT
• Ruairi Laurence Devereux, BCBA
• Jennifer Ann Dewitt, LICSW
• Rajat Dhungana, M.D.
• Diabetes Supply of Charlotte
• Diabetic Supply Foundation of 94 Inc
• Diana's Home Care, Inc.

• Mental Health Counselor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.