Arthur Fenner Outreach Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ARTHUR FENNER OUTREACH CENTER LLC

Doing business as

Arthur Fenner Outreach Center

Practice address

1423 Marshall St
Roanoke Rapids, NC 27870-4413

Phone

(252) 541-1235

Fax

(252) 541-1111

NPI assigned

Oct 20, 2022

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Lee Green, LCSW-A, MSW, CPSSNPI 1740908326

Title

Owner

Phone

(252) 676-5701

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Arthur Fenner Outreach Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Poche, LCSW

  • Clinical Social Worker
  • Roanoke Rapids, NC
  • NPI 1518025956
  Medicare reassignment Care Compare group NPD
• Sondra H Solomon, APMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1366747412
  Medicare reassignment Care Compare group NPD
• Martha L Green

  • Clinical Social Worker
  • Roanoke Rapids, NC
  • NPI 1740908326

  Single Specialty

  NPD Authorized official
• April Whitaker, LCSW-A

  • Clinical Social Worker
  • Roanoke Rapids, NC
  • NPI 1356103733
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1144947235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MARSHALL ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704413",
            "telephone_number": "252-676-5701",
            "fax_number": "252-541-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 MARSHALL ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704413",
            "telephone_number": "252-541-1235",
            "fax_number": "252-541-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR FENNER OUTREACH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-676-5701",
        "authorized_official_credential": "LCSW-A, MSW, CPSS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5005077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arthur Fenner Outreach Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arthur Fenner Outreach Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.