Individual provider Active NPI

Timothy C Truemper, M.S., LPA, LPC

  • Psychologist
  • Concord, NC
National Provider Identifier
1720156979
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1251 Issued in NC
Practice address
1065 Vinehaven Dr
Concord, NC 28025-2439
Phone
(704) 786-9181
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4251 NC
Psychologist 103T00000X 1251 NC Primary

Addresses

Primary practice location

1065 Vinehaven Dr
Concord, NC 28025-2439

Mailing address

126 Mitchell Ave
Salisbury, NC 28144-6239
Phone (704) 637-2493

Other identifiers 2

IdentifierTypeStateIssuer
1251OtherNCPSYCHOLOGY LICENSE NUMBER
4251OtherNCLPC NUMBER

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4251NCMDChiropractor
1251NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1720156979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MITCHELL AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446239",
            "telephone_number": "704-637-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 VINEHAVEN DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-786-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEMPER",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S., LPA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4251",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NUMBER",
            "identifier": "1251",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC NUMBER",
            "identifier": "4251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.