Active NPI
Emmitt Maxwell Furner II, LPC
- Professional Counselor
- Spring Lake, NC
National Provider Identifier
1699267930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13362
- Practice address
- 104 Lake Ave
Spring Lake, NC 28390-3937 - Phone
- (202) 725-8826
- NPI assigned
- Jun 2, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13362 | NC | Primary |
Addresses
Primary practice location
104 Lake Ave
Spring Lake, NC 28390-3937
Mailing address
375 Aiken Rd
Vass, NC 28394-9299
Phone (202) 725-8826
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 |
|---|---|---|---|
| 13362 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1699267930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 AIKEN RD",
"city": "VASS",
"state": "NC",
"postal_code": "283949299",
"telephone_number": "202-725-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LAKE AVE",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903937",
"telephone_number": "202-725-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURNER",
"first_name": "EMMITT",
"middle_name": "MAXWELL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-02",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.