Active NPI
Vernon Ted Jamison
- Mental Health Counselor
- Greenville, NC
National Provider Identifier
1396863569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1267
- Practice address
- 925 Conference Dr
Greenville, NC 27858-5971 - Phone
- (252) 756-4899
- Fax
- (252) 756-5141
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1267 | NC | Primary |
Addresses
Primary practice location
925 Conference Dr
Greenville, NC 27858-5971
Mailing address
925 Conference Dr
Greenville, NC 27858-5971
Phone (252) 756-4899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1267 | Other | NC | LICENSE NUMBER |
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 |
|---|---|---|---|
| 1267 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396863569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CONFERENCE DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585971",
"telephone_number": "252-756-4899",
"fax_number": "252-756-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CONFERENCE DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585971",
"telephone_number": "252-756-4899",
"fax_number": "252-756-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "VERNON",
"middle_name": "TED",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "1267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1267",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, 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.