NPIMap

Organization Active NPI

My Goal Our Mission Services, LLC

  • Professional Counselor
  • Garner, NC
National Provider Identifier
1265747927
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MY GOAL OUR MISSION SERVICES, LLC
Practice address
208 Forest Hills Dr
Garner, NC 27529-3624
Phone
(919) 800-0016
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Mrs. Allison Marie Bristow-Chisley
Title
Ceo
Phone
(919) 523-8651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

208 Forest Hills Dr
Garner, NC 27529-3624

Mailing address

208 Forest Hills Dr
Garner, NC 27529-3624
Phone (919) 800-0016

National Provider Directory

National Provider Directory
Tax ID family
My Goal Our Mission Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

208 Forest Hills Dr
Garner, NC 27529
Phone (919) 779-7332

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1265747927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FOREST HILLS DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293624",
            "telephone_number": "919-800-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FOREST HILLS DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293624",
            "telephone_number": "919-800-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOAL OUR MISSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BRISTOW-CHISLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-523-8651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.