Organization Active NPI

Easterseals Ucp-Asap Inc

Doing business as Area Services and Programs Inc.

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1265578892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EASTERSEALS UCP-ASAP INC
Doing business as
Area Services and Programs Inc.
Practice address
715 Simmons St
Goldsboro, NC 27530-3842
Phone
(919) 784-9182
Fax
(919) 784-9184
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa G Sullivan
Title
Director of Support Services
Phone
91978491821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

715 Simmons St
Goldsboro, NC 27530-3842

Mailing address

715 Simmons St
Goldsboro, NC 27530-3842
Phone (919) 784-9182

Other identifiers 1

IdentifierTypeStateIssuer
6005777MedicaidNC

Other names 1

  • AREA SERVICES AND PROGRAMS INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Area Services and Programs Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

715 Simmons St
Goldsboro, NC 27530
Phone (252) 564-8145

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265578892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SIMMONS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303842",
            "telephone_number": "919-784-9182",
            "fax_number": "919-784-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SIMMONS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303842",
            "telephone_number": "919-784-9182",
            "fax_number": "919-784-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERSEALS UCP-ASAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF SUPPORT SERVICES",
        "authorized_official_telephone_number": "91978491821",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AREA SERVICES AND PROGRAMS INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.