Active NPI
Josephs Com Support Services Inc
- Community/Behavioral Health Agency
- Kinston, NC
National Provider Identifier
1215120720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302119 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Goldsboro, NC
- NPI 1376558825
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.