JONATHAN REVELS (NPI# 1932559911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932559911 |
| Entity Type | Individual |
| Full Name | JONATHAN REVELS |
| Credential | MS, LCASA |
| Practice Address |
117 W Medical Ct Marion NC 28752-5590 |
| Mailing Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 8286593966 |
| Practice Fax Number | 8286596304 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-22868 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750674164 | Jonathan W Revels | Radiology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2011-05-17 |
| Street Address |
117 W MEDICAL CT |
| City | MARION |
| State | NC |
| Zip Code | 28752-5590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407925324 | Ogochukwu A. Okpala | Obstetrics & Gynecology | 117 W Medical Ct, Marion, NC 28752-5590 | 2006-11-07 |
| 1326501362 | Tabitha Nicole Smolzer | Counselor | 117 W Medical Ct, Marion, NC 28752-5564 | 2019-04-08 |
| 1346763018 | Crystal Kay Edwards | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-07-25 |
| 1801333661 | Amber Gulley | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-01-31 |
| 1457897100 | George White | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-01-18 |
| 1740679968 | Allison Agresti | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2015-01-12 |
| 1053717678 | Rachel Hergenrother | Registered Nurse | 117 W Medical Ct, Marion, NC 28752-5590 | 2014-11-10 |
| 1215333950 | Donald Austin Cope | Registered Nurse | 117 W Medical Ct, Marion, NC 28752-5590 | 2014-11-07 |
| 1508268517 | Tina Wilson Mcrary | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2014-09-22 |
| 1710388798 | Chelsea Wakefield | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2014-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121778 | Ashley Jade Kirby | Counselor | 1581 Marion Waldo Rd # 710, Marion, OH 43302-7423 | 2020-07-20 |
| 1104452333 | Patrick Travis Woodruff | Counselor | 246a S Main St, Marion, NC 28752-4551 | 2020-03-19 |
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1508411026 | Tristan Wayne Killian | Counselor | 356 Beaver Creek Rd, Marion, NC 28752-9081 | 2019-08-02 |
| 1487214854 | Jennifer Marie Kositzky | Counselor | 151 Marion Blvd, Marion, IA 52302-3135 | 2019-06-18 |
| 1639667611 | Skylette V Jackson | Counselor | 28879 Hudson Corner Rd, Marion, MD 21838-2105 | 2018-04-25 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1023515392 | Robbie S Mccain-ficklin | Counselor | 315 S Norton St, Marion, IN 46952-3296 | 2018-04-12 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on JONATHAN REVELS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.