NPIMap

Organization Active NPI

Successful Transitions LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1396123584
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20337 Issued in NC
Legal business name
SUCCESSFUL TRANSITIONS LLC
Practice address
301 N Elm St
264
Greensboro, NC 27401-2083
Phone
(336) 275-7973
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Eva Washington, M.S. ED, CRC, LCAS-A
Title
Counselor
Phone
(336) 312-7761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A10756 NC
Community/Behavioral Health Agency 251S00000X 20337 NC Primary

Addresses

Primary practice location

301 N Elm St
264
Greensboro, NC 27401-2083

Mailing address

301 N Elm St
264
Greensboro, NC 27401-2083
Phone (336) 275-7973

Other identifiers 2

IdentifierTypeStateIssuer
6604313MedicaidNC
6604184MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Successful Transitions LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1396123584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ELM ST",
            "address_2": "264",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012083",
            "telephone_number": "336-275-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ELM ST",
            "address_2": "264",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012083",
            "telephone_number": "336-275-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "336-312-7761",
        "authorized_official_credential": "M.S. ED, CRC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "A10756",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "20337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604313",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604184",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.