Organization Active NPI

Another Chance MH-Su Services

  • Community/Behavioral Health Agency
  • Goldsboro, NC
National Provider Identifier
1245070242
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANOTHER CHANCE MH-SU SERVICES
Practice address
109 Pinehurst LN
Goldsboro, NC 27534-8178
Phone
(252) 775-1786
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Chelsie Tobes, LPN
Title
Ceo
Phone
(252) 775-1786

Specialties & licenses 1

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

Addresses

Primary practice location

109 Pinehurst LN
Goldsboro, NC 27534-8178

Mailing address

109 Pinehurst LN
Goldsboro, NC 27534-8178

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1245070242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PINEHURST LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PINEHURST LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348178",
            "telephone_number": "252-775-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE MH-SU SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "TOBES",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-775-1786",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.