NPIMap

Organization Active NPI

Progressive Helathcare & Counseling Services Inc.

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1174754675
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8109498 Issued in NC
Legal business name
PROGRESSIVE HELATHCARE & COUNSELING SERVICES INC.
Practice address
4086 Barrett Dr
Raleigh, NC 27609-6604
Phone
(919) 694-6402
Fax
(800) 875-5876
NPI assigned
Jul 31, 2009
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Llewellyn Hicks, MSWNPI 1669778478
Title
Director
Phone
(919) 694-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8109498 NC Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Professional Counselor 101YP2500X NU
In Home Supportive Care Agency 253Z00000X HC3862 NC

Addresses

Primary practice location

4086 Barrett Dr
Raleigh, NC 27609-6604

Mailing address

476 S Parliament Way
Clayton, NC 27520-5055
Phone (919) 520-1783

Other practice location 1

627 W Innes St
Salisbury, NC 28144-4158
Phone (919) 694-6402 ext. 2

National Provider Directory

National Provider Directory
Tax ID family
Progressive Healthcare Counseling Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

627 W Innes St
Salisbury, NC 28144
Phone 9196946402 ext. 2

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1174754675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 S PARLIAMENT WAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205055",
            "telephone_number": "919-520-1783",
            "fax_number": "800-875-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096604",
            "telephone_number": "919-694-6402",
            "fax_number": "800-875-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 W Innes St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444158",
            "country_code": "US",
            "telephone_number": "919-694-6402 x2",
            "fax_number": "800-875-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE HELATHCARE & COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-694-6402",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "8109498",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.