JERRY OLIVER EARNHARDT M.S. NPI 1962550392

NPI Information

  • NPI: 1962550392
  • Provider Name: JERRY OLIVER EARNHARDT, M.S.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 W WALKER AVE
    ASHEBORO, NC
    ZIP 27203
  • Phone: (336) 633-7000

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NPI Details

Jerry Oliver Earnhardt, M.S. is a professional counselor in Asheboro, NC. Jerry Oliver Earnhardt, M.S. NPI is 1962550392. 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:

110 W WALKER AVE
ASHEBORO, NC
ZIP 27203-760
Phone: (336) 633-7000
Fax: (336) 625-3817

The NPI 1962550392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/8/2007 and was last updated on 6/10/2022.

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
1101YP2500XCounselorProfessionalS3269NORTH CAROLINAYes

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
16103545MEDICAIDNORTH 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: 11/21/2025

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