Individual provider Active NPI

Jennifer Price, LCSW

  • Assistant Behavior Analyst
  • Whiteville, NC
National Provider Identifier
1285972778
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
C008468 Issued in NC
Practice address
158 Country Club Rd
Whiteville, NC 28472-9131
Phone
(910) 642-8393
NPI assigned
Jan 18, 2013
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X C008468 NC Primary

Addresses

Primary practice location

158 Country Club Rd
Whiteville, NC 28472-9131

Mailing address

413 Buccaneer Rd
Wilmington, NC 28409-2722
Phone (910) 777-1592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000879 NC Practitioner - Clinical Social Worker 7113207945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Health Network LLCGroup PAC ID 2567742513, 8 clinicians

Practice addresses (Care Compare)

209 W Virgil St
Whiteville, NC 28472-4017
Phone (910) 640-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Health Network, LLC CurrentSince Jan 16, 2017 Accepting new patients

Locations

102 W Main St
Ste A
Whiteville, NC 28472
Phone (910) 840-1501

209 W Virgil St
Whiteville, NC 28472
Phone (910) 640-2430

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1285972778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BUCCANEER RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092722",
            "telephone_number": "910-777-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 COUNTRY CLUB RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284729131",
            "telephone_number": "910-642-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "C008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.