Organization Active NPI

Albemarle Mental Health Center

  • Counselor
  • Plymouth, NC
National Provider Identifier
1306030820
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ALBEMARLE MENTAL HEALTH CENTER
Practice address
804 Washington St
Plymouth, NC 27962-2224
Phone
(252) 793-1154
NPI assigned
Aug 28, 2007
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Charles Franklin Jr.
Title
Area Director
Phone
(252) 335-1113

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

804 Washington St
Plymouth, NC 27962-2224

Mailing address

804 Washington St
Plymouth, NC 27962-2224
Phone (252) 793-1154

Other identifiers 3

IdentifierTypeStateIssuer
6006206MedicaidNC
07051OtherNCBLUE CROSS BLUE SHIELD
3404943MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Mental Health Center37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1306030820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WASHINGTON ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279622224",
            "telephone_number": "252-793-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WASHINGTON ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279622224",
            "telephone_number": "252-793-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "252-335-1113",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006206",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07051",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404943",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.