NPIMap

Organization Active NPI

Body Whole Health and Counseling

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1356492359
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C003025 Issued in NC
Legal business name
BODY WHOLE HEALTH AND COUNSELING
Practice address
103 Brentwood Center LN N
Wilson, NC 27896-1710
Phone
(252) 293-9966
Fax
(252) 293-9967
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Beverly B Eaton, LCSWNPI 1932205473
Title
Ceo, Owner
Phone
(252) 293-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C003025 NC Primary
Community/Behavioral Health Agency 251S00000X 32314 NC

Addresses

Primary practice location

103 Brentwood Center LN N
Wilson, NC 27896-1710

Mailing address

PO Box 7626
Wilson, NC 27895-7626
Phone (252) 293-9966

Other identifiers 7

IdentifierTypeStateIssuer
5901994MedicaidNC
8703105MedicaidNC
3410103MedicaidNC
8301384DMedicaidNC
6003801MedicaidNC
8301384MedicaidNC
8301384HMedicaidNC

National Provider Directory

National Provider Directory

Locations

103 Brentwood Center Ln N
Wilson, NC 27896
Phone (252) 293-9966

Practitioners & affiliated clinicians

Practitioners 2

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1356492359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7626",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278957626",
            "telephone_number": "252-293-9966",
            "fax_number": "252-293-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-293-9966",
            "fax_number": "252-293-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WHOLE HEALTH AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "252-293-9966",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C003025",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "32314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901994",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703105",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410103",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301384D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003801",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301384",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301384H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.