NPIMap

Organization Active NPI

Innovative Programming Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabeth City, NC
National Provider Identifier
1487784229
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNOVATIVE PROGRAMMING ASSOCIATES, INC.
Practice address
1023 Highway 17 Suite 1
Elizabeth City, NC 27909-9070
Phone
(910) 483-0734
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Leslie Coley
Title
Billing Specialist
Phone
(910) 483-0734

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NC Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NC
Substance Abuse Rehabilitation Facility 324500000X NC

Addresses

Primary practice location

1023 Highway 17 Suite 1
Elizabeth City, NC 27909-9070

Mailing address

111 Lamon St Ste 201
Fayetteville, NC 28301-4957

Other identifiers 1

IdentifierTypeStateIssuer
6005327MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Innovative Programming Associates Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1487784229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 HIGHWAY 17 SUITE 1",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099070",
            "telephone_number": "910-483-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PROGRAMMING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "910-483-0734"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005327",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.