NPIMap

Organization Active NPI

Program Resource Institute

  • Addiction (Substance Use Disorder) Counselor
  • Roxboro, NC
National Provider Identifier
1568618908
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-073-052 Issued in NC
Legal business name
PROGRAM RESOURCE INSTITUTE
Practice address
309 S Madison Blvd
Roxboro, NC 27573-5429
Phone
(336) 599-5888
Fax
(919) 929-5320
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Ted Fitzgerald
Title
Executive Director
Phone
(910) 891-7062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-073-052 NC Primary

Addresses

Primary practice location

309 S Madison Blvd
Roxboro, NC 27573-5429

Mailing address

108 N Orange Ave
Dunn, NC 28334-3826
Phone (910) 891-7062

National Provider Directory

National Provider Directory
Tax ID family
Pri Counseling Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

309 S Madison Blvd
Roxboro, NC 27573
Phone (336) 599-5888

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1568618908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ORANGE AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343826",
            "telephone_number": "910-891-7062",
            "fax_number": "910-892-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735429",
            "telephone_number": "336-599-5888",
            "fax_number": "919-929-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM RESOURCE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-891-7062"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-073-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.