Individual provider Active NPI

Lewis H. Temple III, MDIV

  • Pastoral Counselor
  • Greeneville, TN
National Provider Identifier
1366052763
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
59 Park Ave W
Greeneville, TN 37745-3610
Phone
(404) 277-2813
NPI assigned
Jul 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

59 Park Ave W
Greeneville, TN 37745-3610

Mailing address

PO Box 1923
Greeneville, TN 37744-1923
Phone (423) 207-2338

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://templerenovationcenter.clientsecure.me/

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

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1366052763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1923",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377441923",
            "telephone_number": "423-207-2338",
            "fax_number": "423-609-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PARK AVE W",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453610",
            "telephone_number": "404-277-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "LEWIS",
        "middle_name": "H.",
        "name_suffix": "III",
        "credential": "MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://templerenovationcenter.clientsecure.me/",
            "affiliation": "N",
            "address_1": "59 Park Ave W",
            "city": "Greeneville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377453610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.