NPIMap

Organization Active NPI

MTS Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1184896029
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MTS THERAPEUTIC SERVICES, LLC
Practice address
303 S Shore Dr
Jacksonville, NC 28540-5647
Phone
(910) 938-0670
Fax
(910) 938-1229
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mr. Thomas Trevour Shepard, QMHP
Title
Owner
Phone
(910) 376-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

303 S Shore Dr
Jacksonville, NC 28540-5647

Mailing address

303 S Shore Dr
Jacksonville, NC 28540-5647
Phone (910) 938-0670

National Provider Directory

National Provider Directory
Tax ID family
MTS Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1184896029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S SHORE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405647",
            "telephone_number": "910-938-0670",
            "fax_number": "910-938-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S SHORE DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405647",
            "telephone_number": "910-938-0670",
            "fax_number": "910-938-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TREVOUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-376-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.