Jeffrey Allen Jaworski, LCAS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5512 Issued in NC

Practice address

110 W Wood Hill Dr
Nags Head, NC 27959-9394

Phone

(252) 441-1802

Fax

(252) 441-1802

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1700934262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1639",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541639",
            "telephone_number": "910-476-4629",
            "fax_number": "252-441-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOOD HILL DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599394",
            "telephone_number": "252-441-1802",
            "fax_number": "252-441-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "LCAS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1059",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly'S Developmental Services
• Emily Insley Holmes, LPC
• Michelle Marie Hossinei
• Charla D Huff, LCAS
• J Trahey Maner DDS PA
• Joseph Thomas Jenkins, MD
• Sherri Leh Jenkins, LCMHC, LCAS
• Patricia Ann Johnson, F.N.P., C.N.M.
• Rachel Stanford Johnson, PA-C
• Joseph G Keenan, MD

• Mental Health Counselor in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.