NPIMap

Organization Active NPI

Visions of North Carolina, Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1487909636
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-041-1048 Issued in NC
Legal business name
VISIONS OF NORTH CAROLINA, INC.
Practice address
122 N Elm St Ste 505
Greensboro, NC 27401-2875
Phone
(336) 275-1125
Fax
(336) 275-1126
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Herbert Lee Mozell, QMHP, ED..D
Title
Exec./QM Director
Phone
(336) 549-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-041-1048 NC Primary

Addresses

Primary practice location

122 N Elm St Ste 505
Greensboro, NC 27401-2875

Mailing address

7607A Alcorn Rd
Greensboro, NC 27409-9781
Phone (336) 931-0432

Other identifiers 1

IdentifierTypeStateIssuer
3410155MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Visions of North Carolina Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

122 N Elm St
Ste 505
Greensboro, NC 27401
Phone (336) 275-1125

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1487909636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607A ALCORN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099781",
            "telephone_number": "336-931-0432",
            "fax_number": "336-370-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N ELM ST STE 505",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012875",
            "telephone_number": "336-275-1125",
            "fax_number": "336-275-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "MOZELL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXEC./QM DIRECTOR",
        "authorized_official_telephone_number": "336-549-1796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "QMHP, ED..D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410155",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.