NPIMap

Organization Active NPI

Making a Difference Community Support Inc

  • Mental Health Counselor
  • Plymouth, NC
National Provider Identifier
1174848246
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAKING A DIFFERENCE COMMUNITY SUPPORT INC
Practice address
104 W Water St
Plymouth, NC 27962-1306
Phone
(252) 793-2823
Fax
(252) 793-4139
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Orlando Small
Title
Designee
Phone
(919) 931-2225

Specialties & licenses 1

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

Addresses

Primary practice location

104 W Water St
Plymouth, NC 27962-1306

Mailing address

49 Mackeys Rd
Plymouth, NC 27962-9609

National Provider Directory

National Provider Directory
Tax ID family
Making a Difference Community Support Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1174848246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MACKEYS RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W WATER ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621306",
            "telephone_number": "252-793-2823",
            "fax_number": "252-793-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING A DIFFERENCE COMMUNITY SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "DESIGNEE",
        "authorized_official_telephone_number": "919-931-2225"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.