Organization Active NPI

Holistic Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roanoke Rapids, NC
National Provider Identifier
1255023172
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOLISTIC THERAPEUTICS
Practice address
608 Jackson St Ste 214
Roanoke Rapids, NC 27870-2600
Phone
(252) 308-4797
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Keara GoodeNPI 1447896121
Title
Ceo& Lead Practitioner
Phone
(252) 308-4797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

608 Jackson St Ste 214
Roanoke Rapids, NC 27870-2600

Mailing address

608 Jackson St Ste 214
Roanoke Rapids, NC 27870-2600
Phone (252) 308-4797

National Provider Directory

National Provider Directory

Locations

608 Jackson St
Ste 214
Roanoke Rapids, NC 27870
Phone (252) 308-4797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1255023172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE 214",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702600",
            "telephone_number": "252-308-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE 214",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702600",
            "telephone_number": "252-308-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "KEARA",
        "authorized_official_title_or_position": "CEO& LEAD PRACTITIONER",
        "authorized_official_telephone_number": "252-308-4797"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.