Individual provider Active NPI

Jeanne McKee Passmore, LPC

  • Professional Counselor
  • Whiteville, NC
National Provider Identifier
1689848988
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4244 Issued in NC
Practice address
603 Pecan LN
Whiteville, NC 28472-2949
Phone
(828) 387-6520
Fax
(910) 640-1402
NPI assigned
Apr 17, 2008
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4244 NC Primary

Addresses

Primary practice location

603 Pecan LN
Whiteville, NC 28472-2949

Mailing address

603 Pecan LN
Whiteville, NC 28472-2949
Phone (828) 387-6520

Other identifiers 1

IdentifierTypeStateIssuer
6104034MedicaidNC

Other names 1

  • Mrs. Jeanne McKee Passmore Other name

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

LicenseStateTypeSpecialty
4244NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1689848988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PECAN LN",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722949",
            "telephone_number": "828-387-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 PECAN LN",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722949",
            "telephone_number": "828-387-6520",
            "fax_number": "910-640-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "JEANNE",
        "middle_name": "MCKEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "PASSMORE",
            "middle_name": "MCKEE",
            "prefix": "MRS.",
            "credential": "L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.