Enoch Nibblett

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

215 SE Jackson Street
Roseburg, OR 97470

Phone

(541) 464-6404

Fax

(547) 464-6420

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• County of Douglas

  • Community/Behavioral Health Agency
  • Roseburg, OR
  • NPI 1366697690
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1851848477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700368",
            "telephone_number": "541-464-6404",
            "fax_number": "541-464-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE JACKSON STREET",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-464-6404",
            "fax_number": "547-464-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBBLETT",
        "first_name": "ENOCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Visions Eyecare PC
• Joyce Ann Newton, O.D.
• Lanchi Thai Nguyen
• Tristina T Nguyen, PHARM.D.
• Truong Han Phi Nguyen, D.M.D
• Hannah G Nibler, CPM, LDM
• Dawn Allison Nichols, LPC
• Michael L. Nichols, DO
• Leah Niezwaag
• Lokanadha B Nimmagadda, MD

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.