Organization Active NPI

Carteret Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Morehead City, NC
National Provider Identifier
1407913742
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-016-034 Issued in NC
Legal business name
CARTERET COUNSELING SERVICES, INC.
Practice address
3820 Bridges St
Ste B
Morehead City, NC 28557-2979
Phone
(252) 247-1109
Fax
(252) 247-1107
NPI assigned
Jan 3, 2007
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Mr. Donald Mrdjenovic III, CCS, CSACNPI 1598811002
Title
President
Phone
(252) 247-1109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL-016-034 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-016-034 NC
Professional Counselor 101YP2500X MHL-016-034 NC
Community/Behavioral Health Agency 251S00000X MHL-016-034 NC Primary

Addresses

Primary practice location

3820 Bridges St
Ste B
Morehead City, NC 28557-2979

Mailing address

105 N 10TH St
Morehead City, NC 28557-3806
Phone (252) 247-1109

Other identifiers 3

IdentifierTypeStateIssuer
6006028MedicaidNC
MHL 016-034OtherNCMH/DD/SAS
8301794MedicaidNC

National Provider Directory

National Provider Directory

Locations

105 N 10th St
Morehead City, NC 28557
Phone (252) 247-1109

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1407913742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 10TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573806",
            "telephone_number": "252-247-1109",
            "fax_number": "252-247-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 BRIDGES ST",
            "address_2": "STE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572979",
            "telephone_number": "252-247-1109",
            "fax_number": "252-247-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "MRDJENOVIC",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-247-1109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CCS, CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL-016-034",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-016-034",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "MHL-016-034",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-016-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006028",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH/DD/SAS",
            "identifier": "MHL 016-034",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.