Individual provider Active NPI

Andrew Enzor, LPC-ASSOCIATE

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1730913625
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
96077 Issued in TX
Practice address
186A Forestwood Dr
Nashville, TN 37209-4517
Phone
(469) 834-2503
NPI assigned
Sep 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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 96077 TX Primary

Addresses

Primary practice location

186A Forestwood Dr
Nashville, TN 37209-4517

Mailing address

186A Forestwood Dr
Nashville, TN 37209-4517

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
96077TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1730913625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186A FORESTWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186A FORESTWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094517",
            "telephone_number": "469-834-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZOR",
        "first_name": "ANDREW",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.