Organization Active NPI

Josephs Com Support Services Inc

  • Community/Behavioral Health Agency
  • Kinston, NC
National Provider Identifier
1215120720
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOSEPHS COM SUPPORT SERVICES INC
Practice address
1501 N Queen St
Kinston, NC 28501-2944
Phone
(252) 520-2001
Fax
(252) 520-0024
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Ms. Tamaria McCollum
Title
President/Owner
Phone
(252) 520-2001

Specialties & licenses 1

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

Addresses

Primary practice location

1501 N Queen St
Kinston, NC 28501-2944

Mailing address

1501 N Queen St
Kinston, NC 28501-2944
Phone (252) 520-2001

Other identifiers 1

IdentifierTypeStateIssuer
8302119MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1215120720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012944",
            "telephone_number": "252-520-2001",
            "fax_number": "252-520-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012944",
            "telephone_number": "252-520-2001",
            "fax_number": "252-520-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHS COM SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "TAMARIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-520-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302119",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.