Individual provider Active NPI

Edward Tyree Markowski, LPC

  • Professional Counselor
  • Holly Springs, NC
National Provider Identifier
1831508985
Registry record updated Aug 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10666 Issued in NC
Practice address
380 Raleigh St
Holly Springs, NC 27540-9047
Phone
(443) 848-8782
NPI assigned
Aug 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2014

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 10666 NC Primary
Professional Counselor 101YP2500X LC2550 MD

Addresses

Primary practice location

380 Raleigh St
Holly Springs, NC 27540-9047

Mailing address

2717 Ashland St
Raleigh, NC 27608-1225
Phone (443) 848-8782

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
LC2550MDMDProfessional Counselor
10666NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1831508985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 ASHLAND ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081225",
            "telephone_number": "443-848-8782",
            "fax_number": "800-798-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RALEIGH ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "443-848-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWSKI",
        "first_name": "EDWARD",
        "middle_name": "TYREE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10666",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; 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.