NPIMap

Organization Active NPI

Mental Health Association in NC

  • Mental Illness Community Based Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1376673616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-007-005 Issued in NC
Legal business name
MENTAL HEALTH ASSOCIATION IN NC
Practice address
619 Plant St
Washington, NC 27889-4100
Phone
(252) 946-7094
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dalton E Staton
Title
Program Manager
Phone
(252) 946-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-007-005 NC Primary

Addresses

Primary practice location

619 Plant St
Washington, NC 27889-4100

Mailing address

619 Plant St
Washington, NC 27889-4100
Phone (252) 946-7094

Other names 1

  • Rainbow House Other name

National Provider Directory

National Provider Directory
Tax ID family
Cac of Beaufort2 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376673616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PLANT ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894100",
            "telephone_number": "252-946-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PLANT ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894100",
            "telephone_number": "252-946-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION IN NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "252-946-7094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-007-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • 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.