DIRK NUTTLE LPCA LCAS-A CRC NPI 1497152227

NPI Information

  • NPI: 1497152227
  • Provider Name: DIRK NUTTLE, LPCA, LCAS-A, CRC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 6324 STONEWICK DR
    JAMESTOWN, NC
    ZIP 27282
  • Phone: (336) 707-6825

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NPI Details

Dirk Nuttle, LPCA, LCAS-A, CRC is an addiction (substance use disorder) counselor in Jamestown, NC. Dirk Nuttle, LPCA, LCAS-A, CRC NPI is 1497152227. 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:

6324 STONEWICK DR
JAMESTOWN, NC
ZIP 27282-516
Phone: (336) 707-6825

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-20573NORTH CAROLINAYes
2101YM0800XCounselorMental HealthA10631NORTH CAROLINANo

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: 11/21/2025

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