NPIMap

Organization Active NPI

Easter Seals Ucp North Carolina, Inc.

  • Mental Health Counselor
  • New Bern, NC
National Provider Identifier
1396974986
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EASTER SEALS UCP NORTH CAROLINA, INC.
Practice address
2111 Neuse Blvd
Suite F
New Bern, NC 28560-4317
Phone
(252) 636-6007
Fax
(252) 636-3732
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Richard P Edwards
Title
Sr. Director, QM
Phone
(919) 783-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2111 Neuse Blvd
Suite F
New Bern, NC 28560-4317

Mailing address

2315 Myron Dr
Raleigh, NC 27607-3344
Phone (919) 783-8898

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Ucp North Carolina Virginia Inc224 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2111 Neuse Blvd
Ste F
New Bern, NC 28560
Phone (252) 636-6007

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": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1396974986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073344",
            "telephone_number": "919-783-8898",
            "fax_number": "919-782-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD",
            "address_2": "SUITE F",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604317",
            "telephone_number": "252-636-6007",
            "fax_number": "252-636-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. DIRECTOR, QM",
        "authorized_official_telephone_number": "919-783-8898"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.