Individual provider Active NPI

Jade Eva Reynolds Butler, MS

  • Professional Counselor
  • Wilson, NC
National Provider Identifier
1831448620
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1685 Issued in NC
Practice address
703 Nash St W
Suite D
Wilson, NC 27893-3058
Phone
(252) 902-7799
Fax
(252) 260-5727
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1685 NC Primary
Professional Counselor 101YP2500X A8767 NC

Addresses

Primary practice location

703 Nash St W
Suite D
Wilson, NC 27893-3058

Mailing address

703 Nash St W
Suite D
Wilson, NC 27893-3058
Phone (252) 902-7799

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
Master of Science

State licenses

LicenseStateTypeSpecialty
A8767NCMDProfessional Counselor
1685NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Harvest: an Integrative Counseling Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1831448620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NASH ST W",
            "address_2": "SUITE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933058",
            "telephone_number": "252-902-7799",
            "fax_number": "252-260-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NASH ST W",
            "address_2": "SUITE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933058",
            "telephone_number": "252-902-7799",
            "fax_number": "252-260-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JADE",
        "middle_name": "EVA REYNOLDS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "1685",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.