Active NPI
Julian Thomas Slaydon Jr., L.M.F.T.
- Marriage & Family Therapist
- Eden, NC
National Provider Identifier
1962416925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 761
- Practice address
- 424 W Kings Hwy Ste D
Suite 2
Eden, NC 27288-5076 - Phone
- (336) 552-5986
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 761 | NC | Primary |
Addresses
Primary practice location
424 W Kings Hwy Ste D
Suite 2
Eden, NC 27288-5076
Mailing address
424 W Kings Hwy Ste D
Suite 2
Eden, NC 27288-5076
Phone (336) 552-5986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105092 | Medicaid | NC | |
| 140NU | Other | NC | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1962416925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W KINGS HWY STE D",
"address_2": "SUITE 2",
"city": "EDEN",
"state": "NC",
"postal_code": "272885076",
"telephone_number": "336-552-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W KINGS HWY STE D",
"address_2": "SUITE 2",
"city": "EDEN",
"state": "NC",
"postal_code": "272885076",
"telephone_number": "336-552-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYDON",
"first_name": "JULIAN",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "L.M.F.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105092",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "140NU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
- Walter Brian Shepherd, DDS MS
- Chelsea Victoria Shields Burns, PHARMD
- Joseph Aaron Sivak, MD
- Katherine E Skillman, PA-C
- Ronald Le Slaughter, HIS
- Insook Baik Smith, D.D.S.
- Sierra Smith, OTR/L
- Frank C Snyder, MD
- Southeastern Orthopaedic Specialists, P.a. (SOS Eden)
- Southern Assisted Living, LLC. (Brookdale Eden)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.