NPIMap

Organization Active NPI

PHD Inc

  • Community/Behavioral Health Agency
  • Washington, NC
National Provider Identifier
1114233699
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
50829 Issued in NC
Legal business name
PHD INC
Practice address
131 N Market St
Washington, NC 27889-4947
Phone
(252) 975-3111
Fax
(252) 975-3035
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Niadra Blount Pratt, LCAS, CCS, LMCHCNPI 1518369727
Title
Clinical Director
Phone
(252) 975-3111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 50829 NC Primary

Addresses

Primary practice location

131 N Market St
Washington, NC 27889-4947

Mailing address

323 W 2ND St
Washington, NC 27889-4801
Phone (252) 975-3111

Other names 1

  • Passages Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023000254 NC Part B Supplier - Clinic/Group Practice 8729576566 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, NC

National Provider Directory

National Provider Directory

Locations

131 N Market St
Washington, NC 27889
Phone (252) 402-4801

Practitioners & affiliated clinicians

Practitioners 4

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1114233699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 2ND ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894801",
            "telephone_number": "252-975-3111",
            "fax_number": "252-975-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MARKET ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894947",
            "telephone_number": "252-975-3111",
            "fax_number": "252-975-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "NIADRA",
        "authorized_official_middle_name": "BLOUNT",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-975-3111",
        "authorized_official_credential": "LCAS, CCS, LMCHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "50829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passages Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Passages Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.