New Outlook..Second Chance, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW OUTLOOK..SECOND CHANCE, INC.

Practice address

976 Martin Luther King Jr Blvd
Suite 206
Chapel Hill, NC 27514-2654

Phone

(919) 633-8360

Fax

(919) 683-2641

NPI assigned

Jan 27, 2010

Organization subpart

Yes

Parent organization

NEW OUTLOOK..SECOND CHANCE, INC.As reported in NPPES

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

Authorized official

Name

Ms. Bethena M Jackosn, BA, CSAC

Title

Chief Executive Officer

Phone

(919) 682-4771

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

New Outlook Second Chance Inc6 organizations share this tax ID, including this one

Part of

New Outlook Second Chance Inc

Other organizations with this tax ID 5

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

• New Outlook Second Chance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Durham, NC
  • NPI 1104069905
  NPD tax ID
• New Outlook Second Chance, Inc.

  • Case Management Agency
  • Durham, NC
  • NPI 1255497244
  NPD tax ID
• New Outlook.. Second Chance, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1568691921
  NPD tax ID
• New Outlook..Second Chance, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
  • NPI 1518299791
  NPD tax ID
• New Outlook..Second Chance, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1609039858
  NPD tax ID

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1386975548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142656",
            "telephone_number": "919-633-8360",
            "fax_number": "919-683-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 206",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142654",
            "telephone_number": "919-633-8360",
            "fax_number": "919-683-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW OUTLOOK..SECOND CHANCE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW OUTLOOK..SECOND CHANCE, INC.",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "JACKOSN",
        "authorized_official_first_name": "BETHENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-682-4771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302362G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700391",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302362B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302703G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302703B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Neutze, MD
• Kevin Edward Neuzil, MD
• Connor William Nevin, MD
• Madeleine Barclay Nevin, AUD
• New Destinations, Inc.
• Andrew Richard Newberg, M.D.
• Desi Michele Newberry, NNP
• Corynn Haberski Newman, PA-C
• Jennifer Rose Newman, PT
• Bernice Sue Newsome, APRN-BC

• Community/Behavioral Health Agency in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.