Jonathan Andrew Traylor, LPC, LCAS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9883 Issued in NC

Practice address

823 Jefferson St Ste 1
Whiteville, NC 28472-3703

Phone

(910) 508-8904

Fax

(910) 640-0026

NPI assigned

Dec 12, 2012

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Coastal Carolina Behavioral Healthcare LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1184990863
  NPD (past) Authorized official

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1841536281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 JEFFERSON ST STE 1",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723703",
            "telephone_number": "910-508-8904",
            "fax_number": "910-640-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 JEFFERSON ST STE 1",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723703",
            "telephone_number": "910-508-8904",
            "fax_number": "910-640-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LPC, LCAS, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3272",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMS Family Services, Inc.
• Total Renal Care of North Carolina LLC (Southeastern Dialysis Center Whiteville)
• Total Sleep Therapy, LLC
• Touch of Healing Hands Home Care, LLC.
• Henry W Traylor, MD
• Tri County Community Health Council Inc (CommWell Health of Columbus County)
• Triangle Medical Services, Inc.
• Trinity Home Healthcare Inc
• Trinity Home Healthcare, Inc.
• Triple Crown Transportation

• Mental Health Counselor in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.