NPIMap

Organization Active NPI

Johnston County Mental Health Ctr

  • Case Manager/Care Coordinator
  • Smithfield, NC
National Provider Identifier
1275733792
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
JOHNSTON COUNTY MENTAL HEALTH CTR
Practice address
521 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 989-5500
Fax
(919) 989-5532
NPI assigned
Jul 23, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Janis J Nutt, PHD
Title
Area Director
Phone
(919) 989-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

521 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

PO Box 411
Smithfield, NC 27577-0411
Phone (919) 989-5500

Other identifiers 7

IdentifierTypeStateIssuer
8301360BMedicaidNC
3408026MedicaidNCCAP
5901802MedicaidNC
6005572MedicaidNC
07116OtherNCBCBSNC
3404930MedicaidNC
8301360MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Johnston County Mental Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

521 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 989-5500

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1275733792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770411",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY MENTAL HEALTH CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "919-989-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "CAP",
            "identifier": "3408026",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901802",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005572",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "07116",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404930",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.