Individual provider Active NPI

Jefferson McCombs, LPC, MED

  • Counselor
  • Kannapolis, NC
National Provider Identifier
1548209885
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1080 Issued in NC
Practice address
608 McCombs Ave
Kannapolis, NC 28083-3605
Phone
(704) 933-0007
Fax
(704) 933-0300
NPI assigned
Jun 5, 2006
Last updated
May 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1080 NC Primary

Addresses

Primary practice location

608 McCombs Ave
Kannapolis, NC 28083-3605

Mailing address

PO Box 8381
Kannapolis, NC 28081-1804
Phone (704) 933-0007

Other identifiers 1

IdentifierTypeStateIssuer
56448OtherNCBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 13, 2024 through Dec 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1080NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
McCombs Counseling & Consulting, Inc Counselor CurrentSince Jan 1, 2025 Accepting new patients

Locations

608 McCombs Ave
Kannapolis, NC 28083
Phone (704) 933-0007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1548209885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8381",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280811804",
            "telephone_number": "704-933-0007",
            "fax_number": "704-933-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MCCOMBS AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833605",
            "telephone_number": "704-933-0007",
            "fax_number": "704-933-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "JEFFERSON",
        "credential": "LPC, MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "56448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

Verify at the official NPI Registry.