Organization Active NPI

Samaritans Network, Inc.

  • Marriage & Family Therapist
  • Williamston, NC
National Provider Identifier
1033396403
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1195 Issued in NC
Legal business name
SAMARITANS NETWORK, INC.
Practice address
408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931
Phone
(252) 799-0300
Fax
(252) 799-0314
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Marian Brown Cannon
Title
Executive Director
Phone
(252) 799-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4098 NC
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1195 NC Primary

Addresses

Primary practice location

408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931

Mailing address

408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931
Phone (252) 799-0300

Other identifiers 2

IdentifierTypeStateIssuer
7804585MedicaidNC
8301348MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1033396403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N MARTIN LUTHER KING JR DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921931",
            "telephone_number": "252-799-0300",
            "fax_number": "252-799-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MARTIN LUTHER KING JR DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921931",
            "telephone_number": "252-799-0300",
            "fax_number": "252-799-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANS NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-799-0300"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4098",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804585",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301348",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.