JERRY DEAN POWELL D.MIN. NPI 1740376409

NPI Information

NPI: 1740376409
Provider Name: JERRY DEAN POWELL, D.MIN.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
916 ARSENAL AVE
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 309-1574
Get Directions

Jerry Dean Powell, D.MIN. is a professional counselor in Fayetteville, NC. Jerry Dean Powell, D.MIN. NPI is 1740376409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

916 ARSENAL AVE
FAYETTEVILLE, NC
ZIP 28305-328
Phone: (910) 309-1574
Fax: (910) 323-0310

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		1207	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	3565	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	199121	OTHER	NORTH CAROLINA	MEDCOST
2	6103661	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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