Individual provider Active NPI

Norman Dale Nabors, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Tupelo, MS
National Provider Identifier
1740052950
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
M9336 Issued in MS
Practice address
10 Oxford SQ
Tupelo, MS 38801-6191
Phone
(662) 210-9993
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X M9336 MS Primary

Addresses

Primary practice location

10 Oxford SQ
Tupelo, MS 38801-6191

Mailing address

10 Oxford SQ
Tupelo, MS 38801-6191
Phone (662) 210-9993

Other practice location 1

720 Oak Grove Rd
Mantachie, MS 38855-8469
Phone (662) 350-1106

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
M9336MSMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1740052950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OXFORD SQ",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016191",
            "telephone_number": "662-210-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OXFORD SQ",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016191",
            "telephone_number": "662-210-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Mantachie",
            "state": "MS",
            "postal_code": "388558469",
            "country_code": "US",
            "telephone_number": "662-350-1106",
            "fax_number": "601-653-9587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABORS",
        "first_name": "NORMAN",
        "middle_name": "DALE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "M9336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.