Active NPI
Epiphany Mental Health Services, LLC
- Community/Behavioral Health Agency
- Rocky Mount, NC
National Provider Identifier
1588057798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5054
- Legal business name
- EPIPHANY MENTAL HEALTH SERVICES, LLC
- Practice address
- 916 Branch St
Rocky Mount, NC 27801-5708 - Phone
- (252) 985-0078
- Fax
- (252) 446-6645
- NPI assigned
- Mar 12, 2015
- Organization subpart
- Yes
- Parent organization
- EPIPHANY MENTAL HEALTH SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dianne Faye Williams, LPC
- Title
- Owner/Therapist
- Phone
- (252) 435-5016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5054 | NC | Primary |
Addresses
Primary practice location
916 Branch St
Rocky Mount, NC 27801-5708
Mailing address
916 Branch St
Rocky Mount, NC 27801-5708
Phone (252) 985-0078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103211 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Epiphany Mental Health Services LLC
- Part of
- Epiphany Mental Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Rocky Mount, NC
- NPI 1225433329
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Counselor
- Rocky Mount, NC
- NPI 1225433329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1588057798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 BRANCH ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015708",
"telephone_number": "252-985-0078",
"fax_number": "252-446-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 BRANCH ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015708",
"telephone_number": "252-985-0078",
"fax_number": "252-446-6645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIPHANY MENTAL HEALTH SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EPIPHANY MENTAL HEALTH SERVICES, LLC",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "252-435-5016",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "5054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103211",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.