Active NPI
John Marion Radford Jr., LPCA
- Professional Counselor
- Smithfield, NC
National Provider Identifier
1821475732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11518
- Practice address
- 101-2F East Market Street
Smithfield, NC 27577 - Phone
- (919) 915-5567
- NPI assigned
- Apr 29, 2015
- Last updated
- Apr 29, 2015
- 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 | A11518 | NC | Primary |
Addresses
Primary practice location
101-2F East Market Street
Smithfield, NC 27577
Mailing address
PO Box 574
Selma, NC 27576-0574
Phone (919) 915-5567
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 |
|---|---|---|---|
| A11518 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1821475732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 574",
"city": "SELMA",
"state": "NC",
"postal_code": "275760574",
"telephone_number": "919-915-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101-2F EAST MARKET STREET",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "27577",
"telephone_number": "919-915-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "JOHN",
"middle_name": "MARION",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.