Marvas Outreach Mission

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

MARVAS OUTREACH MISSION

Practice address

122 N Elm St Ste 512
Greensboro, NC 27401-2818

Phone

(336) 791-6844

NPI assigned

Sep 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marva Johnson Edwards, CPSSNPI 1265232979

Title

Director and Founder

Phone

(336) 210-2181

Specialties & licenses 1

Addresses

Other names 1

• MOM Ministries Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marva Johnson Edwards, CPSS

  • Peer Specialist
  • Greensboro, NC
  • NPI 1265232979
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1003633579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N ELM ST STE 512",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012818",
            "telephone_number": "336-791-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N ELM ST STE 512",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012818",
            "telephone_number": "336-791-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVAS OUTREACH MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARVA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR AND FOUNDER",
        "authorized_official_telephone_number": "336-210-2181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOM Ministries",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Martinez
• Natalie Martinez, HEALTH EDUCATOR
• Rosa Martinez, DPT
• Jeanie Linda Martschink, CRNA
• Melissa Catherine Marty, ATC
• Marvor Healthcare PLLC
• Mary E. Kingery DDS PA
• Mary Easton LCSW PLLC
• Mary'S House, Inc.
• Nicole C. Mascia, LCMHC

• Peer Specialist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.