Organization Active NPI

Equafinality B

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1639772502
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EQUAFINALITY B
Practice address
201 Tyson St
Greenville, NC 27834-1847
Phone
(252) 864-9334
NPI assigned
Nov 20, 2020
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Keirstin Cotto, LCMHC, LCAS, CCSNPI 1215449012
Title
Ceo
Phone
(252) 972-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

201 Tyson St
Greenville, NC 27834-1847

Mailing address

PO Box 1195
Bethel, NC 27812-1195
Phone (252) 864-9334

Other practice location 1

317 Washington Ave
Weldon, NC 27890-1549
Phone (252) 864-9334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403000687 NC Part B Supplier - Clinic/Group Practice 8921446402 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

201 Tyson St
Greenville, NC 27834
Phone (252) 864-9334

313 Clifton St
#C1
Greenville, NC 27858

Practitioners & affiliated clinicians

Practitioners 2

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": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1639772502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1195",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278121195",
            "telephone_number": "252-864-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TYSON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341847",
            "telephone_number": "252-864-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Weldon",
            "state": "NC",
            "postal_code": "278901549",
            "country_code": "US",
            "telephone_number": "252-864-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EQUAFINALITY B",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "COTTO",
        "authorized_official_first_name": "KEIRSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-972-4357",
        "authorized_official_credential": "LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.