Active NPI
Childrens Health Services
- Counselor
- Greenville, NC
National Provider Identifier
1609079144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0421
- Legal business name
- CHILDRENS HEALTH SERVICES
- Practice address
- 1826 W Arlington Blvd
Greenville, NC 27834-5704 - Phone
- (252) 329-7337
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tate Holbrooke, MD
- Title
- Physician Owner
- Phone
- (252) 329-7337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0421 | NC | Primary |
Addresses
Primary practice location
1826 W Arlington Blvd
Greenville, NC 27834-5704
Mailing address
1826 W Arlington Blvd
Greenville, NC 27834-5704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8942998 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0948608 | Childrens Health Services PA | Accreditation | Mar 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Children'S Health Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Greenville, NC
- NPI 1164500575
-
- Pediatrics Physician
- Greenville, NC
- NPI 1265491997
Interoperability endpoints
- https://api.platform.athenahealth.com/16083/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609079144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-329-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLBROOKE",
"authorized_official_first_name": "TATE",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "252-329-7337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "NC",
"license": "0421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8942998",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.