Active NPI
Nellie Humphreys-Lowry, LCASA
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
National Provider Identifier
1497229397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24940
- Practice address
- 3427 Melrose Rd
Fayetteville, NC 28304-1608 - Phone
- (910) 864-8739
- NPI assigned
- Jan 15, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24940 | NC | Primary |
Addresses
Primary practice location
3427 Melrose Rd
Fayetteville, NC 28304-1608
Mailing address
3427 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 864-8739
Other names 1
- Nellie Lowry
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24940 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1497229397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "910-864-8739",
"fax_number": "910-864-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "910-864-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREYS-LOWRY",
"first_name": "NELLIE",
"credential": "LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "24940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NELLIE",
"last_name": "LOWRY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.