NPIMap

Organization Active NPI

NC Recovery Support Services

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1437592771
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NC RECOVERY SUPPORT SERVICES
Practice address
309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385
Phone
(919) 889-2663
Fax
(919) 882-1277
NPI assigned
Apr 16, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Krystal GlennNPI 1336752476
Title
Director
Phone
(919) 889-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385

Mailing address

309 W Millbrook Rd
Suite 161
Raleigh, NC 27609-4385
Phone (919) 889-2663

National Provider Directory

National Provider Directory

Locations

309 W Millbrook Rd
Ste 161
Raleigh, NC 27609
Phone (919) 559-8690

Practitioners & affiliated clinicians

Practitioners 4

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1437592771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-889-2663",
            "fax_number": "919-882-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-889-2663",
            "fax_number": "919-882-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-889-2663"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.