Organization Active NPI

Holistic Harvest: an Integrative Counseling Center

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1396096566
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1693 Issued in NC
Legal business name
HOLISTIC HARVEST: AN INTEGRATIVE COUNSELING CENTER
Practice address
703 Nash St W Ste D
Wilson, NC 27893-3058
Phone
(252) 495-4613
Fax
(252) 260-5727
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Ms. Allison Claire Edwards, LCAS,LPC,CSI
Title
Co-Owner
Phone
(252) 531-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1693 NC Primary

Addresses

Primary practice location

703 Nash St W Ste D
Wilson, NC 27893-3058

Mailing address

PO Box 212
Wilson, NC 27894-0212
Phone (252) 495-4613

Other identifiers 1

IdentifierTypeStateIssuer
6112230MedicaidNC

National Provider Directory

National Provider Directory

Locations

703 Nash St W
Ste D
Wilson, NC 27893
Phone (252) 243-3223

Practitioners & affiliated clinicians

Practitioners 1

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1396096566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278940212",
            "telephone_number": "252-495-4613",
            "fax_number": "252-260-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NASH ST W STE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933058",
            "telephone_number": "252-495-4613",
            "fax_number": "252-260-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HARVEST: AN INTEGRATIVE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "252-531-9130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCAS,LPC,CSI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112230",
            "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 Sep 27, 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.