Organization Active NPI

Carter Behavior Health Services, Inc.

  • Home Health Agency
  • Greenville, NC
National Provider Identifier
1124223631
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4036 Issued in NC
Legal business name
CARTER BEHAVIOR HEALTH SERVICES, INC.
Practice address
501A Greenville Blvd SE
Greenville, NC 27858-6736
Phone
(252) 353-5577
Fax
(252) 353-8577
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Mr. Terry Lamont Speller
Title
Program Director, P-Lcas
Phone
(252) 347-3950

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Home Health Agency 251E00000X HC4036 NC Primary
Community/Behavioral Health Agency 251S00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X HC4036 NC

Addresses

Primary practice location

501A Greenville Blvd SE
Greenville, NC 27858-6736

Mailing address

308 Greenville Blvd SE Ste a
Greenville, NC 27858-5758
Phone (252) 353-5577

Other identifiers 5

IdentifierTypeStateIssuer
3418973MedicaidNC
6601979MedicaidNC
8302032MedicaidNC
5909095MedicaidNC
6006375MedicaidNC

National Provider Directory

National Provider Directory

Locations

501 Greenville Blvd SE
#A
Greenville, NC 27858
Phone (252) 353-5577

501A Greenville Blvd SE
Greenville, NC 27858
Phone (252) 353-5577

308 Greenville Blvd SE
Ste A
Greenville, NC 27858
Phone (252) 353-5577

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1124223631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GREENVILLE BLVD SE STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585758",
            "telephone_number": "252-353-5577",
            "fax_number": "252-353-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A GREENVILLE BLVD SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586736",
            "telephone_number": "252-353-5577",
            "fax_number": "252-353-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER BEHAVIOR HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "SPELLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR, P-LCAS",
        "authorized_official_telephone_number": "252-347-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4036",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418973",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601979",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302032",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909095",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.