Johnston County Mental Health Ctr

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JOHNSTON COUNTY MENTAL HEALTH CTR

Practice address

521 N Brightleaf Blvd
Johnston County Medical Health Center
Smithfield, NC 27577-4407

Phone

(919) 989-5500

Fax

(919) 989-5532

NPI assigned

Sep 13, 2006

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janis J Nutt, PHD

Title

Area Director

Phone

(919) 989-5500

Specialties & licenses 6

Addresses

Other identifiers 6

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1447355888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "address_2": "JOHNSTON COUNTY MENTAL HEALTH CENTER",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770411",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BRIGHTLEAF BLVD",
            "address_2": "JOHNSTON COUNTY MEDICAL HEALTH CENTER",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-5500",
            "fax_number": "919-989-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY MENTAL HEALTH CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "919-989-5500",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "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": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-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
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404930",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005572",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301360B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "07116",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901802",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnston County Mental Health Center
• Johnston County Mental Health Center
• Johnston County Mental Health Center
• Johnston County Mental Health Ctr
• Johnston County Mental Health Ctr
• Johnston County Mental Health Ctr
• Johnston County Pediatrics
• Johnston County Pediatrics
• Johnston County Public Health Department
• Johnston County Public Health Dept

• Mental Health Clinic/Center (Including Community Mental Health Center) in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.