NPIMap

Organization Active NPI

Jackson County Psychological Services PA

Doing business as Haywood County Psychological Services

  • Professional Counselor
  • Sylva, NC
National Provider Identifier
1396802914
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JACKSON COUNTY PSYCHOLOGICAL SERVICES PA
Doing business as
Haywood County Psychological Services
Practice address
98D Cope Creek Rd
Sylva, NC 28779-9508
Phone
(828) 586-2311
Fax
(828) 586-5450
NPI assigned
Jan 2, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Debbie Douthit
Title
Billing Supervisor
Phone
(828) 586-2311

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

98D Cope Creek Rd
Sylva, NC 28779-9508

Mailing address

PO Box 728
Sylva, NC 28779-0728
Phone (828) 586-2311

Other identifiers 4

IdentifierTypeStateIssuer
8300532MedicaidNC
017UFOtherNCBCBS PROVIDER #
8302150MedicaidNC
6005078MedicaidNC

Other names 1

  • Haywood County Psychological Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1396802914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790728",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98D COPE CREEK RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799508",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DOUTHIT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "828-586-2311"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300532",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "017UF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302150",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood County Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.