Active NPI
Insight Human Services
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1457550063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2165
- Legal business name
- INSIGHT HUMAN SERVICES
- Practice address
- 665 W 4TH St
Winston Salem, NC 27101-2701 - Phone
- (336) 715-8389
- NPI assigned
- Jul 13, 2007
- 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
- Mr. Jeff Matkins
- Title
- Chief Operating Officer
- Phone
- (336) 725-8389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2165 | NC | Primary |
Addresses
Primary practice location
665 W 4TH St
Winston Salem, NC 27101-2701
Mailing address
1514 Berwick Rd
Winston Salem, NC 27103-4704
Phone (336) 760-0567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005586 | Medicaid | NC |
Other names 1
- Partnership for a Drug Free North Carolina
National Provider Directory
National Provider Directory- Tax ID family
- Insight Human Services
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
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-
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Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Winston Salem, NC
- NPI 1336263300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457550063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 BERWICK RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034704",
"telephone_number": "336-760-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 W 4TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012701",
"telephone_number": "336-715-8389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT HUMAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATKINS",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "336-725-8389",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005586",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Partnership for a Drug Free North Carolina",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.