Active NPI
Southcare Community Service, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, NC
National Provider Identifier
1215179221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SOUTHCARE COMMUNITY SERVICE, INC
- Practice address
- 1506 Market St
Wilmington, NC 28401-4871 - Phone
- (910) 254-4065
- Fax
- (910) 254-4067
- NPI assigned
- Apr 6, 2009
- 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
- Mr. Laney B Harrill
- Title
- President/Ceo
- Phone
- (910) 368-1928
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychosomatic Medicine Physician | 2084P0015X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | |||
| Vascular Neurology Physician | 2084V0102X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1506 Market St
Wilmington, NC 28401-4871
Mailing address
1506 Market St
Wilmington, NC 28401-4871
Phone (910) 254-4065
Other names 1
- SouthCare of NC
National Provider Directory
National Provider DirectoryLocations
1506 Market St
Wilmington, NC 28401
Phone (910) 254-4065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1215179221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014871",
"telephone_number": "910-254-4065",
"fax_number": "910-254-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014871",
"telephone_number": "910-254-4065",
"fax_number": "910-254-4067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHCARE COMMUNITY SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "HARRILL",
"authorized_official_first_name": "LANEY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "910-368-1928",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SouthCare of NC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wilmington, NC
- Sound Psychologial Services, PA
- Sound Psychologial Services, PA
- Adele Soutar, MD
- Mollie-Williams Moss Southard, LCSW
- Shirley W Southard
- Southcare Minute Clinic Inc
- Southeast Anesthesiology Consultants, PLLC
- Southeastern Foot & Ankle Associates, PA
- Southeastern Foot Associates PA
- Southeastern Healthcare Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.