Individual provider Active NPI

George Eakin Naff III, MA, D.MIN, NCC, LPC

  • Professional Counselor
  • Boone, NC
National Provider Identifier
1720283104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4448 Issued in NC
Practice address
516 New Market Blvd
Suite 1
Boone, NC 28607-4014
Phone
(828) 265-9265
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4448 NC Primary

Addresses

Primary practice location

516 New Market Blvd
Suite 1
Boone, NC 28607-4014

Mailing address

1100 Bodenheimer Dr
Boone, NC 28607-4023
Phone (828) 265-9265

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 Arts

State licenses

LicenseStateTypeSpecialty
4448NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720283104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BODENHEIMER DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074023",
            "telephone_number": "828-265-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NEW MARKET BLVD",
            "address_2": "SUITE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074014",
            "telephone_number": "828-265-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFF",
        "first_name": "GEORGE",
        "middle_name": "EAKIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MA, D.MIN, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.