NPIMap

Organization Active NPI

People of Purpose

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1295916682
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4790 Issued in NC
Legal business name
PEOPLE OF PURPOSE
Practice address
1602 Harbour Dr
Wilmington, NC 28401-7716
Phone
(910) 395-8227
Fax
(910) 395-9337
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Nancy Barnes Boone
Title
Ceo
Phone
(252) 917-9930

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4790 NC Primary

Addresses

Primary practice location

1602 Harbour Dr
Wilmington, NC 28401-7716

Mailing address

1602 Harbour Dr
Wilmington, NC 28401-7716
Phone (910) 395-8227

Other identifiers 1

IdentifierTypeStateIssuer
8301103MedicaidNC

Other names 1

  • Liberty Counseling and Recovery Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
People of Purpose3 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

1602 Harbour Dr
Wilmington, NC 28401
Phone (910) 395-8227

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1295916682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-395-8227",
            "fax_number": "910-395-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-395-8227",
            "fax_number": "910-395-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE OF PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-917-9930"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301103",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Counseling and Recovery Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.