Active NPI
Joanna Refvem, L.P.C.
- Professional Counselor
- Mount Airy, NC
National Provider Identifier
1992733067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3844
- Practice address
- 201 Main Street
3Rd Floor
Mount Airy, NC 27030 - Phone
- (336) 401-2345
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3844 | NC | Primary |
Addresses
Primary practice location
201 Main Street
3Rd Floor
Mount Airy, NC 27030
Mailing address
667 Cross Creek Dr
Mount Airy, NC 27030-9195
Phone (336) 789-1822
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3844 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992733067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 CROSS CREEK DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270309195",
"telephone_number": "336-789-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN STREET",
"address_2": "3RD FLOOR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "27030",
"telephone_number": "336-401-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REFVEM",
"first_name": "JOANNA",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.