NPIMap

Organization Active NPI

P R Health Services of NC

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
National Provider Identifier
1366150906
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
P R HEALTH SERVICES OF NC
Practice address
3208 Sunset Ave Ste C
Rocky Mount, NC 27804-3590
Phone
(919) 348-7784
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mrs. Avis Regina Mitchell, BSW,MA,QP,CDACNPI 1508026121
Title
Substance Abuse Counselor
Phone
(919) 348-7784

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3208 Sunset Ave Ste C
Rocky Mount, NC 27804-3590

Mailing address

3208 Sunset Ave Ste C
Rocky Mount, NC 27804-3590
Phone (919) 348-7784

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1366150906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 SUNSET AVE STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043590",
            "telephone_number": "919-348-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 SUNSET AVE STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043590",
            "telephone_number": "919-348-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P R HEALTH SERVICES OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "919-348-7784",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW,MA,QP,CDAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.