NPIMap

Organization Active NPI

One Love Periodic Services, Inc

  • Community/Behavioral Health Agency
  • Marion, NC
National Provider Identifier
1346519014
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE LOVE PERIODIC SERVICES, INC
Practice address
451 N Main St
Marion, NC 28752-3304
Phone
(828) 559-0414
NPI assigned
Dec 23, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stevie Lynn Wideman
Title
Ceo
Phone
(828) 433-4567

National Provider Directory

National Provider Directory
Tax ID family
One Love Periodic Services17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

451 N Main St
Marion, NC 28752
Phone (828) 559-0414

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

451 N Main St
Marion, NC 28752-3304

Mailing address

100 Queen St
Morganton, NC 28655-3440
Phone (828) 433-4567

Other practice location 1

110 S Sterling St
Morganton, NC 28655-3483
Phone (828) 433-4567

Other practice location 2

100 Queen St
Morganton, NC 28655-3440
Phone (828) 433-4567 ext. 82843

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
8703220MedicaidNC
5916270MedicaidNC
8301457VMedicaidNC
3410218MedicaidNC
6008242MedicaidNC
8301457HMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2020.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1346519014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 QUEEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553440",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 N MAIN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523304",
            "telephone_number": "828-559-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553483",
            "country_code": "US",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Queen St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553440",
            "country_code": "US",
            "telephone_number": "828-433-4567 x82843",
            "fax_number": "828-433-4576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE LOVE PERIODIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-433-4567"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703220",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916270",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410218",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008242",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.