Organization Active NPI

Onslow Carteret Behavioral Healthcare Services

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1093845232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-067-002 Issued in NC
Legal business name
ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES
Practice address
165 Center St
Jacksonville, NC 28546-5708
Phone
(910) 219-8028
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel M Jones
Title
Area Director
Phone
(910) 219-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-067-002 NC Primary

Addresses

Primary practice location

165 Center St
Jacksonville, NC 28546-5708

Mailing address

165 Center St
Jacksonville, NC 28546-5708
Phone (910) 219-8028

Other identifiers 3

IdentifierTypeStateIssuer
5901889OtherNCPHYSICIAN GROUP
3404934MedicaidNC
8301605MedicaidNC

National Provider Directory

National Provider Directory

Locations

165 Center St
Jacksonville, NC 28546
Phone (910) 219-8000

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093845232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-219-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CENTER ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465708",
            "telephone_number": "910-219-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW CARTERET BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "910-219-8028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-067-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN GROUP",
            "identifier": "5901889",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404934",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301605",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.