Active NPI
Nathaniel Nicholas Ivers, PH.D., LPC, NCC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1740508803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7327
- Practice address
- 4780 Westchester Rd
Winston Salem, NC 27103-1223 - Phone
- (336) 972-2022
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 7327 | NC | Primary |
Addresses
Primary practice location
4780 Westchester Rd
Winston Salem, NC 27103-1223
Mailing address
556 Covington Ridge Rd
Winston Salem, NC 27107-7694
Phone (336) 972-2022
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7327 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1740508803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 COVINGTON RIDGE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271077694",
"telephone_number": "336-972-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 WESTCHESTER RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031223",
"telephone_number": "336-972-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERS",
"first_name": "NATHANIEL",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.