Individual provider Active NPI

Edward Scott Warren, PHD, LPC

  • Professional Counselor
  • Chapel Hill, NC
National Provider Identifier
1447345970
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7259 Issued in NC
Practice address
213 Copper Beech CT
Chapel Hill, NC 27517-8115
Phone
(919) 537-8791
Fax
(919) 537-8791
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19380 TX
Professional Counselor 101YP2500X 7259 NC Primary

Addresses

Primary practice location

213 Copper Beech CT
Chapel Hill, NC 27517-8115

Mailing address

213 Copper Beech CT
Chapel Hill, NC 27517-8115
Phone (919) 537-8791

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7259NCMDProfessional Counselor
19380TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1447345970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COPPER BEECH CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178115",
            "telephone_number": "919-537-8791",
            "fax_number": "919-537-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 COPPER BEECH CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178115",
            "telephone_number": "919-537-8791",
            "fax_number": "919-537-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19380",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2008; 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.