NPIMap

Organization Active NPI

Progressive Healthcare & Counseling Services Inc.

  • Peer Specialist
  • Clinton, NC
National Provider Identifier
1619108115
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
PROGRESSIVE HEALTHCARE & COUNSELING SERVICES INC.
Practice address
411 Vance St
Clinton, NC 28328-4001
Phone
(919) 694-6402
Fax
(800) 875-5876
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Llewellyn Hicks
Title
President
Phone
(919) 520-1783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Case Management Agency 251B00000X 8109498 NC

Addresses

Primary practice location

411 Vance St
Clinton, NC 28328-4001

Mailing address

7013 Missionary Ridge Dr
Raleigh, NC 27610-6349
Phone (910) 475-6124

Other practice location 1

4086 Barrett Dr
Raleigh, NC 27609-6604
Phone (919) 520-1783

National Provider Directory

National Provider Directory
Tax ID family
Progressive Healthcare Counseling Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Vance St
Clinton, NC 28328
Phone (919) 694-6402

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1619108115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 MISSIONARY RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106349",
            "telephone_number": "910-475-6124",
            "fax_number": "919-779-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 VANCE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284001",
            "telephone_number": "919-694-6402",
            "fax_number": "800-875-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4086 Barrett Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096604",
            "country_code": "US",
            "telephone_number": "919-520-1783",
            "fax_number": "800-875-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTHCARE & COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-520-1783"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8109498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.