NPIMap

Organization Active NPI

Elohim Counseling and Resource Center

  • Exclusive Provider Organization
  • Greenville, NC
National Provider Identifier
1619155165
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MHL074188 Issued in NC
Legal business name
ELOHIM COUNSELING AND RESOURCE CENTER
Doing business as
The River House
Practice address
1710 W 3Rd St
Greenville, NC 27834-1669
Phone
(252) 758-4245
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Ms. Sheila Patricia Ingram
Title
Ceo/President
Phone
(252) 758-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MHL074188 NC Primary

Addresses

Primary practice location

1710 W 3Rd St
Greenville, NC 27834-1669

Mailing address

120 W 12TH St
Greenville, NC 27834-4128
Phone (252) 758-4245

Other names 1

  • The River House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elohim Counseling and Resource Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1619155165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 12TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344128",
            "telephone_number": "252-758-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341669",
            "telephone_number": "252-758-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM COUNSELING AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "252-758-4074",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "MHL074188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The River House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 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.