NPIMap

Organization Active NPI

Choices Substance Abuse Mental Health Inc

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1285723320
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5003 Issued in NC
Legal business name
CHOICES SUBSTANCE ABUSE MENTAL HEALTH INC
Practice address
601 Country Club Dr Ste a
Greenville, NC 27834-6124
Phone
(252) 439-1886
Fax
(252) 695-0042
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Ms. Barbara Jean Hester, LPC, LCAS
Title
Clinical Director
Phone
(252) 439-1886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 757 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5003 NC Primary

Addresses

Primary practice location

601 Country Club Dr Ste a
Greenville, NC 27834-6124

Mailing address

601 Country Club Dr Ste a
Greenville, NC 27834-6124
Phone (252) 439-1886

Other identifiers 4

IdentifierTypeStateIssuer
6111761MedicaidNC
6005864MedicaidNC
140NMOtherNCBLUE CROSS BLUE SHIELD
6102862MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Choices Sa MH Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1285723320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346124",
            "telephone_number": "252-439-1886",
            "fax_number": "252-695-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346124",
            "telephone_number": "252-439-1886",
            "fax_number": "252-695-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES SUBSTANCE ABUSE MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-439-1886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "757",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111761",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005864",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "140NM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102862",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.