Organization Active NPI

Quality Mental Health

  • Community/Behavioral Health Agency
  • Lenoir, NC
National Provider Identifier
1366637753
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUALITY MENTAL HEALTH
Practice address
210 Mulberry St SW
Suite D
Lenoir, NC 28645-5450
Phone
(828) 754-1366
Fax
(866) 424-7390
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Mr. Christopher Gould
Title
Program Director
Phone
(828) 754-1366

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

210 Mulberry St SW
Suite D
Lenoir, NC 28645-5450

Mailing address

210 Mulberry St SW
Suite D
Lenoir, NC 28645-5450
Phone (828) 754-1366

Other identifiers 1

IdentifierTypeStateIssuer
8300643MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Quality Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

210 Mulberry St SW
Ste D
Lenoir, NC 28645
Phone (828) 754-1366

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1366637753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MULBERRY ST SW",
            "address_2": "SUITE D",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455450",
            "telephone_number": "828-754-1366",
            "fax_number": "866-424-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MULBERRY ST SW",
            "address_2": "SUITE D",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455450",
            "telephone_number": "828-754-1366",
            "fax_number": "866-424-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "828-754-1366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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": "8300643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.