Organization Active NPI

Healthplus Therapeutic Services Inc

  • Counseling Psychologist
  • Washington, NC
National Provider Identifier
1417992702
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HEALTHPLUS THERAPEUTIC SERVICES INC
Practice address
1710 Carolina Ave
Washington, NC 27889-3315
Phone
(252) 948-0333
Fax
(252) 948-0933
NPI assigned
Jun 19, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Michael Lowe
Title
Director Corporate
Phone
(252) 948-0333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NC
Counseling Psychologist 103TC1900X NC Primary
Clinical Child & Adolescent Psychologist 103TC2200X NC

Addresses

Primary practice location

1710 Carolina Ave
Washington, NC 27889-3315

Mailing address

1712 Carolina Ave
Washington, NC 27889-3315
Phone (252) 948-0333

Other identifiers 3

IdentifierTypeStateIssuer
6005856MedicaidNC
6005883MedicaidNC
0172EOtherNCBCBS

Other names 1

  • Healthplus Therapeutic Services Other name

National Provider Directory

National Provider Directory

Locations

1710 Carolina Ave
Washington, NC 27889
Phone (252) 948-0333

Practitioners & affiliated clinicians

Practitioners 1

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1417992702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CAROLINA AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893315",
            "telephone_number": "252-948-0333",
            "fax_number": "252-948-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CAROLINA AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893315",
            "telephone_number": "252-948-0333",
            "fax_number": "252-948-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPLUS THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR CORPORATE",
        "authorized_official_telephone_number": "252-948-0333"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005856",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005883",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0172E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthplus Therapeutic Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.