NPIMap

Organization Active NPI

The Outreach Center

  • Mental Health Counselor
  • Morganton, NC
National Provider Identifier
1104126440
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE OUTREACH CENTER
Practice address
512 E Fleming Dr Ste 510
Morganton, NC 28655-5315
Phone
(828) 443-0005
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Ms. Holly Johnson, LCMHCSNPI 1780996652
Title
Executive Director
Phone
(828) 439-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

512 E Fleming Dr Ste 510
Morganton, NC 28655-5315

Mailing address

PO Box 1003
Morganton, NC 28680-1003
Phone (828) 439-8300

Other practice location 1

510 E Fleming Dr
Morganton, NC 28655-5315
Phone (828) 439-8300

Other names 1

  • Fresh Start Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

512 E Fleming Dr
Ste 510
Morganton, NC 28655
Phone (828) 443-0005

510 E Fleming Dr
Morganton, NC 28655
Phone (828) 439-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1104126440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286801003",
            "telephone_number": "828-439-8300",
            "fax_number": "828-437-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E FLEMING DR STE 510",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555315",
            "telephone_number": "828-443-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555315",
            "country_code": "US",
            "telephone_number": "828-439-8300",
            "fax_number": "828-437-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-439-8300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresh Start Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.