Active NPI
Wilson Professional Services Treatment Center
- Methadone Clinic
- Kinston, NC
National Provider Identifier
1083569149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- WILSON PROFESSIONAL SERVICES TREATMENT CENTER
- Practice address
- 2503 N Queen St
Kinston, NC 28501-1632 - Phone
- (208) 283-7792
- NPI assigned
- Mar 3, 2026
- Last updated
- Mar 3, 2026
- 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
- Anthony Kilgore
- Title
- Ceo
- Phone
- (208) 283-7792
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
2503 N Queen St
Kinston, NC 28501-1632
Mailing address
5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (208) 283-7792
National Provider Directory
National Provider Directory- Tax ID family
- Wilson Professional Services Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Wilson, NC
- NPI 1346667938
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Mental Health Counselor
- Wilson, NC
- NPI 1972916260
-
- Addiction (Substance Use Disorder) Counselor
- Pikeville, NC
- NPI 1124593629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1083569149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY ROAD",
"address_2": "SUITE 600 EAST",
"city": "DALLAS",
"state": "TX",
"postal_code": "75244",
"telephone_number": "208-283-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011632",
"telephone_number": "208-283-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON PROFESSIONAL SERVICES TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-283-7792"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
- Denise Williams, PT
- Garry Williams
- Isaiah Williams
- Brittney Taylor Willis, PA
- Willow Tree Pain and Addiction Clinic, PLLC
- Wirth Chiropractic Kinston, P.a (Wirth Chiropractic)
- Jacob Alfred Wisniewski, MD
- With a Purpose Family Care, Inc
- With a Purpose Family Care, Inc. (With A Purpose Family Care 2 Woody)
- WNB Enterprise LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.