MR. JIM TEDROW LPC
NPI 1023139490
Counselor - Mental Health in Smithfield, NC

Active since April 03, 2007
212 RIDGE STREET, SMITHFIELD, NC 27577(919) 751-9120 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jim Tedrow Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JIM TEDROW LPC (NPI 1023139490) is an individual mental health provider in Smithfield, North Carolina, licensed in North Carolina (858 NC) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1023139490
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JIM TEDROWCredential: LPC
Location Address212 RIDGE STREETSmithfield, NC 27577
Mailing Address212 Ridge StreetSmithfield, NC 27577
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1023139490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 858 NC
212 RIDGE STREET, Smithfield, NC 27577

Other Identifiers 1

Medicaid6107238NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Tedrow's NPI number?

The NPI number for Jim Tedrow is 1023139490. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jim Tedrow located?

Jim Tedrow practices at 212 Ridge Street, Smithfield, NC 27577. The listed phone number is (919) 751-9120.

What is Jim Tedrow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jim Tedrow was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.