Active NPI
Mission Medical Associates, Inc.
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1093128209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MISSION MEDICAL ASSOCIATES, INC.
- Doing business as
- Mission Behavioral Health
- Practice address
- 428 Biltmore Ave
Asheville, NC 28801-4502 - Phone
- (828) 213-4502
- Fax
- (828) 213-4540
- NPI assigned
- Jun 5, 2014
- Organization subpart
- Yes
- Parent organization
- MISSION MEDICAL ASSOCIATES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Hoggard-Green, PHD
- Title
- Senior Vice President
- Phone
- (828) 213-0193
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
428 Biltmore Ave
Asheville, NC 28801-4502
Mailing address
PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-4502
Other names 1
- Mission Behavioral Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511308800000",
"number": "1093128209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602373",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602373",
"telephone_number": "828-213-4502",
"fax_number": "828-213-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014502",
"telephone_number": "828-213-4502",
"fax_number": "828-213-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISSION MEDICAL ASSOCIATES, INC",
"enumeration_date": "2014-06-05",
"last_updated": "2017-11-22",
"status": "A",
"authorized_official_last_name": "HOGGARD-GREEN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "828-213-0193",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Asheville, NC
- Mission Medical Associates, Inc
- Mission Medical Associates, Inc
- Mission Medical Associates, Inc
- Mission Medical Associates, Inc
- Mission Medical Associates, Inc
- Mission Medical Associates, Inc.
- Mission Medical Associates, Inc.
- Mission Medical Associates, Inc.
- Mission Medical Associates, Inc.
- Mission Medical Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.