NPIMap

Organization Active NPI

Carolina Choice LLC

  • Mental Health Counselor
  • Clinton, NC
National Provider Identifier
1265568240
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAROLINA CHOICE LLC
Practice address
101 W Elizabeth St
Clinton, NC 28328-4021
Phone
(910) 590-2616
Fax
(910) 590-2622
NPI assigned
Feb 26, 2007
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Ms. Donna Simon
Title
Billing Officer
Phone
(252) 633-3855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

101 W Elizabeth St
Clinton, NC 28328-4021

Mailing address

PO Box 12189
New Bern, NC 28561-2189
Phone (252) 633-3855

Other identifiers 4

IdentifierTypeStateIssuer
8301192MedicaidNC
8301192HMedicaidNC
8301192RMedicaidNC
8301192BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Choice LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1265568240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12189",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612189",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ELIZABETH ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284021",
            "telephone_number": "910-590-2616",
            "fax_number": "910-590-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "252-633-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301192",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301192H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301192R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301192B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.