Active NPI
Jimmy Van Poplin, LPC
- Professional Counselor
- Boone, NC
National Provider Identifier
1740213156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5335
- Practice address
- 895 State Farm Rd
Suite 508
Boone, NC 28607-4917 - Phone
- (828) 264-9007
- Fax
- (828) 262-5687
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5335 | NC | Primary |
Addresses
Primary practice location
895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Mailing address
221 West Main
Jefferson, NC 28640-9723
Phone (336) 246-4542
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5335 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740213156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 WEST MAIN",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409723",
"telephone_number": "336-246-4542",
"fax_number": "336-246-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 STATE FARM RD",
"address_2": "SUITE 508",
"city": "BOONE",
"state": "NC",
"postal_code": "286074917",
"telephone_number": "828-264-9007",
"fax_number": "828-262-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPLIN",
"first_name": "JIMMY",
"middle_name": "VAN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5335",
"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.