Jonathan Moore Cloud, LCSW
Individual provider Active NPI Mental Health Counselor · Oxford, NC
NPI 1528114709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528114709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C000512 (NC)
- Practice address
- 120 Orange St Ste a
Oxford, NC 27565-3249 - Phone
- (336) 212-9048
- NPI assigned
- Jan 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000512 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C000512 | NC | Yes |
Addresses
Primary practice location
120 Orange St Ste a
Oxford, NC 27565-3249
Mailing address
2206 Somers Ave
Burlington, NC 27215-3338
Phone (336) 585-0140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23153 | Other | NC | NC HEALTH CHOICE |
| 6002795 | Medicaid | NC |
Other providers in Oxford, NC
- Christina Louise Hite
- Kelly Denny Claiborne
- Bridget Shouse Clark
- Bart Leigh Cleary
- Jennifer Clement
- Thomas Kelly Cogdell
- Michelle Roghelia Collier
- Compassionate Care in Home Services
- Mary Dobelstein Constantino
- Cornelius F. Cathcart, Pediatrics, PA
All providers in Oxford, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.