Active NPI
Samaritans Network, Inc.
- Marriage & Family Therapist
- Williamston, NC
National Provider Identifier
1033396403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1195
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4098 | NC | |
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804585 | Medicaid | NC | |
| 8301348 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.