Organization Active NPI

New Vision Christian Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kinston, NC
National Provider Identifier
1124382197
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW VISION CHRISTIAN COUNSELING
Practice address
834 Hardee Rd Ste 826C
Kinston, NC 28504-3356
Phone
(252) 208-2025
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Martha CobbNPI 1790015014
Title
Owner, Licensed Counselor
Phone
(252) 208-2025

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

834 Hardee Rd Ste 826C
Kinston, NC 28504-3356

Mailing address

PO Box 5688
Kinston, NC 28503-5688

Other identifiers 1

IdentifierTypeStateIssuer
6008463MedicaidNC

National Provider Directory

National Provider Directory

Locations

834 Hardee Rd
Ste 826C
Kinston, NC 28504
Phone (252) 208-2025

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1124382197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5688",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285035688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 HARDEE RD STE 826C",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043356",
            "telephone_number": "252-208-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER, LICENSED COUNSELOR",
        "authorized_official_telephone_number": "252-208-2025"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008463",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.