Ultimate Sacrifice

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ULTIMATE SACRIFICE

Practice address

2290 Premier Park LN
Winston Salem, NC 27105-6306

Phone

(336) 254-5796

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Jasmine Tiara Hoyle

Title

Ceo

Phone

(336) 254-5796

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1568050573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREENSBORO RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272603456",
            "telephone_number": "336-875-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 PREMIER PARK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056306",
            "telephone_number": "336-254-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SACRIFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "HOYLE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "TIARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-254-5796"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ukoh
• Balamurugan Ulaganathan, MBBS, MD
• Emmanuel Olushola Uloko Sr., PMHNP-BC
• Veronica Memuna Uloko, MSN FNP
• Ultimate Behavioral Health Care Services
• Jessica Um
• Umar Services, Inc
• Umar Services, Inc
• Umar Services, Inc
• Umbrella Counseling, PLLC

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.