Active NPI
Prosperity Recovery Services
- Counselor
- Durham, NC
National Provider Identifier
1215325675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0000
- Legal business name
- PROSPERITY RECOVERY SERVICES
- Practice address
- 631 United Dr Ste 100-B
Durham, NC 27713-1661 - Phone
- (919) 636-0731
- NPI assigned
- Jan 7, 2015
- 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
- Tony Tosh
- Title
- Chief Executive Officer
- Phone
- (919) 636-0731
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0000 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0000000 | NC | |
| Mental Health Counselor | 101YM0800X | 0000000 | NC | |
| Professional Counselor | 101YP2500X | 0000000 | NC | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 0000000 | NC | |
| Adult Development & Aging Psychologist | 103TA0700X | 0000000 | NC | |
| Counseling Psychologist | 103TC1900X | 0000000 | NC | |
| Health Service Psychologist | 103TH0100X | 0000000 | NC | |
| Rehabilitation Psychologist | 103TR0400X | 00000000 | NC | |
| Social Worker | 104100000X | 000000 | NC | |
| Clinical Social Worker | 1041C0700X | 0000000 | NC | |
| Marriage & Family Therapist | 106H00000X | 00000000 | NC |
Addresses
Primary practice location
631 United Dr Ste 100-B
Durham, NC 27713-1661
Mailing address
631 United Dr Ste 100-B
Durham, NC 27713-1661
Phone (919) 636-0731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
631 United Dr
Ste 100-B
Durham, NC 27713
Phone (919) 636-0731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1215325675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 UNITED DR STE 100-B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131661",
"telephone_number": "919-636-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 UNITED DR STE 100-B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131661",
"telephone_number": "919-636-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "TOSH",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "919-636-0731"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "NC",
"license": "0000",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": "NC",
"license": "00000000",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NC",
"license": "000000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "0000000",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "00000000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.