NPIMap

Organization Active NPI

Epiphany Mental Health Services, LLC

  • Mental Health Counselor
  • Rocky Mount, NC
National Provider Identifier
1225433329
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5054 Issued in NC
Legal business name
EPIPHANY MENTAL HEALTH SERVICES, LLC
Practice address
916 Branch St
Rocky Mount, NC 27801-5708
Phone
(252) 985-0078
Fax
(252) 641-0710
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Ms. Dianne F Williams, MA.,LPC
Title
Owner
Phone
(252) 985-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5054 NC Primary

Addresses

Primary practice location

916 Branch St
Rocky Mount, NC 27801-5708

Mailing address

916 Branch St
Rocky Mount, NC 27801-5708
Phone (252) 985-0078

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Mental Health 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.

Locations

916 Branch St
Rocky Mount, NC 27801
Phone (252) 985-0078

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1225433329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 BRANCH ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015708",
            "telephone_number": "252-985-0078",
            "fax_number": "252-641-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BRANCH ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015708",
            "telephone_number": "252-985-0078",
            "fax_number": "252-641-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-985-0078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA.,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.