Edgecombe Nash Mental Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDGECOMBE NASH MENTAL HEALTH

Practice address

3007 N Main St
Tarboro, NC 27886-1922

Phone

(252) 937-8141

Fax

(252) 443-9574

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Nancy Rackley

Title

Finance Officer

Phone

(252) 937-8141

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Edgecombe Nash Mental Health2 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.

• Edgecombe-Nash Mental Health Clinic Beacon Center

  • Mental Health Counselor
  • Rocky Mount, NC
  • NPI 1740388347
  NPD tax ID

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316045818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041417",
            "telephone_number": "252-937-8141",
            "fax_number": "252-443-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861922",
            "telephone_number": "252-937-8141",
            "fax_number": "252-443-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECOMBE NASH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "252-937-8141"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005571",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edc Drug Stores Inc (Rite Aid Pharmacy 11421)
• Edge Combe County Public Schools
• Edgecombe Chiropractic Inc (Hammer Chiropractic Tarboro)
• Edgecombe County
• Edgecombe Health Center by Harborview, LLC (Edgecombe Health Center by Harborview)
• John Benjamin Edwards, MSW, ACSW, LCSW
• Enriched Living, LLC
• Epic Supports and Services
• Evangelistic Deliverance Center Adult Group Home
• Joy Rogers Evans

• Mental Health Counselor in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.