NPIMap

Organization Active NPI

Program Resource Institute

  • Addiction (Substance Use Disorder) Counselor
  • Wadesboro, NC
National Provider Identifier
1174710826
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-004-014 Issued in NC
Legal business name
PROGRAM RESOURCE INSTITUTE
Practice address
204 E Wade St
Wadesboro, NC 28170-2265
Phone
(704) 694-1010
Fax
(704) 694-0611
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Theodore Fitzgerald
Title
Executive Director
Phone
(910) 891-7062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL-004-014 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-004-014 NC Primary
Mental Health Counselor 101YM0800X MHL-004-014 NC

Addresses

Primary practice location

204 E Wade St
Wadesboro, NC 28170-2265

Mailing address

108 N Orange Ave
Dunn, NC 28334-3826
Phone (910) 891-7062

National Provider Directory

National Provider Directory
Tax ID family
Pri Counseling Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1174710826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ORANGE AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343826",
            "telephone_number": "910-891-7062",
            "fax_number": "910-892-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WADE ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702265",
            "telephone_number": "704-694-1010",
            "fax_number": "704-694-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM RESOURCE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-891-7062"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL-004-014",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-004-014",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-004-014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.