Avis Regina Mitchell

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2115 Forest Hills Rd W Ste a
Wilson, NC 27893-3483

Phone

(252) 237-1037

Fax

(252) 237-2190

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P R Health Services of NC

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
  • NPI 1366150906
  NPD Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1508026121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD",
            "address_2": "SUITE P",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-752-0483",
            "fax_number": "252-752-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 FOREST HILLS RD W STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933483",
            "telephone_number": "252-237-1037",
            "fax_number": "252-237-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AVIS",
        "middle_name": "REGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnies Care Services LLC
• Miss Daisy'S & Associates, Inc
• Miss Daisy'S Gentlemen of the Future Inc.
• Miss Daisy'S Health Care,Inc.
• Mission Physical Therapy LLC of Wilson
• Brook O Mitchell, OTR/L
• Joanna Brooks Mitchell, RPH
• Sharon Jeanette Mitchell, FNP
• William Ryan Mitchell, M.D.
• MKM Home Care Agency LLC

• Counselor in Wilson, NC
• Providers in Wilson, NC by specialty
• Counselor in North Carolina

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