Organization Active NPI

Positive Connection

  • Mental Health Counselor
  • Plymouth, NC
National Provider Identifier
1619095205
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POSITIVE CONNECTION
Practice address
412 E 3Rd St
Plymouth, NC 27962-1417
Phone
(252) 793-5131
Fax
(252) 793-7530
NPI assigned
Mar 26, 2007
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Mr. Clinton Wilkins Jr.
Title
Ceo
Phone
(252) 217-7384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

412 E 3Rd St
Plymouth, NC 27962-1417

Mailing address

151 Wilkins Dr
Roper, NC 27970-9036
Phone (252) 793-3862

National Provider Directory

National Provider Directory

Locations

412 E 3rd St
Plymouth, NC 27962
Phone (252) 793-5131

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1619095205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WILKINS DR",
            "city": "ROPER",
            "state": "NC",
            "postal_code": "279709036",
            "telephone_number": "252-793-3862",
            "fax_number": "252-793-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 3RD ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621417",
            "telephone_number": "252-793-5131",
            "fax_number": "252-793-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-217-7384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.