Active NPI
The Hiawatha Center, Inc.
- Community/Behavioral Health Agency
- Rocky Mount, NC
National Provider Identifier
1407406713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE HIAWATHA CENTER, INC.
- Practice address
- 819 W Raleigh Blvd
Rocky Mount, NC 27803-2764 - Phone
- (919) 345-0261
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darius Smith
- Title
- President
- Phone
- (919) 345-0261
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
819 W Raleigh Blvd
Rocky Mount, NC 27803-2764
Mailing address
819 W Raleigh Blvd
Rocky Mount, NC 27803-2764
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568764800000",
"number": "1407406713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 W RALEIGH BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278032764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W RALEIGH BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278032764",
"telephone_number": "919-345-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HIAWATHA CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DARIUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-345-0261"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
- The Carrolton of Nash County, LLC (The Carrolton of Nash County)
- The Carrolton of Nash, LLC (The Carrolton of Nash)
- The Circle of Life Home Care Agency Inc
- The Family Matters and Cares, LLC
- The Heart of St. Mary's
- The Hinnants Refoundation Impact LLC
- The Mental Health Association in North Carolina, Inc (Wilson-Greene ACTT)
- The Mental Health Association in North Carolina, Inc. (Nash Apts)
- The Mental Health Association in North Carolina, Inc. (Falls Road Facility - Rocky Mount)
- The Mental Health Association in North Carolina, Inc. (Western Avenue Facility - Rocky Mount)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.