NPIMap

Organization Active NPI

Positive Progress Services Corp.

  • Mental Health Counselor
  • Pembroke, NC
National Provider Identifier
1134410327
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-078-249 Issued in NC
Legal business name
POSITIVE PROGRESS SERVICES CORP.
Practice address
305 E 3Rd St
Suite #5
Pembroke, NC 28372-7991
Phone
(910) 521-7461
Fax
(910) 521-7463
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Mrs. Lorie A Hammonds, QP
Title
Ceo/President
Phone
(910) 521-7461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHL-078-249 NC Primary

Addresses

Primary practice location

305 E 3Rd St
Suite #5
Pembroke, NC 28372-7991

Mailing address

305 E 3Rd St Ste 5
Pembroke, NC 28372-7991
Phone (910) 521-7461

Other identifiers 5

IdentifierTypeStateIssuer
1477604007MedicaidNC
1063618049MedicaidNC
1770689101MedicaidNC
1134225154MedicaidNC
1760607006MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
T L Empowerment LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 E 3rd St
Ste 5
Pembroke, NC 28372
Phone (910) 521-7461

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1134410327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST STE 5",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727991",
            "telephone_number": "910-521-7461",
            "fax_number": "910-521-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST",
            "address_2": "SUITE #5",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727991",
            "telephone_number": "910-521-7461",
            "fax_number": "910-521-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PROGRESS SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "910-521-7461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-078-249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477604007",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063618049",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770689101",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134225154",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760607006",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

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