Organization Active NPI

Tar Heel Human Services, Inc.

  • Counselor
  • Wallace, NC
National Provider Identifier
1053798520
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TAR HEEL HUMAN SERVICES, INC.
Practice address
220 East Main Street
Wallace, NC 28466-2365
Phone
(910) 298-6207
Fax
(910) 298-6293
NPI assigned
May 4, 2015
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Michael B JonesNPI 1801878129
Title
Owner
Phone
(910) 298-6207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

220 East Main Street
Wallace, NC 28466-2365

Mailing address

PO Box 1321
Beulaville, NC 28518-1321
Phone (910) 298-6207

Other identifiers 1

IdentifierTypeStateIssuer
6005238MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Tar Heel Human Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 E Main St
Wallace, NC 28466
Phone (910) 285-1157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1053798520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1321",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285181321",
            "telephone_number": "910-298-6207",
            "fax_number": "910-298-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EAST MAIN STREET",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662365",
            "telephone_number": "910-298-6207",
            "fax_number": "910-298-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR HEEL HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-298-6207"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.