Organization Active NPI

Skills Management Group, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1285867804
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SKILLS MANAGEMENT GROUP, INC
Practice address
2204 Evers Dr
Raleigh, NC 27610-4914
Phone
(919) 833-8247
NPI assigned
Aug 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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

Authorized official

Name
Mr. W L Riddick II, M.ED
Title
President
Phone
(919) 833-8247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2204 Evers Dr
Raleigh, NC 27610-4914

Mailing address

2204 Evers Dr
Raleigh, NC 27610-4914
Phone (919) 833-8247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251590400000",
    "number": "1285867804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 EVERS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104914",
            "telephone_number": "919-833-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EVERS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104914",
            "telephone_number": "919-833-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS MANAGEMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A",
        "authorized_official_last_name": "RIDDICK",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-833-8247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.