Organization Active NPI

Dwi and Counseling Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Goldsboro, NC
National Provider Identifier
1538445341
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2011 Issued in NC
Legal business name
DWI AND COUNSELING SERVICES, INC.
Practice address
103 Ormond Ave
Goldsboro, NC 27530-4832
Phone
(919) 222-1297
Fax
(855) 329-8739
NPI assigned
Oct 25, 2011
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. T-Rex CrawfordNPI 1992031892
Title
Ceo
Phone
(919) 222-1297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2011 NC Primary
Clinical Social Worker 1041C0700X C007765 NC

Addresses

Primary practice location

103 Ormond Ave
Goldsboro, NC 27530-4832

Mailing address

PO Box 698
Goldsboro, NC 27533-0698
Phone (919) 222-1297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1538445341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275330698",
            "telephone_number": "919-222-1297",
            "fax_number": "855-329-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ORMOND AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304832",
            "telephone_number": "919-222-1297",
            "fax_number": "855-329-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWI AND COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "T-REX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-222-1297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2011",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

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