Active NPI
Reaching Out
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1649412495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REACHING OUT
- Practice address
- 3925 N Duke St
Durham, NC 27704-1780 - Phone
- (910) 479-9050
- Fax
- (919) 479-9055
- NPI assigned
- Mar 25, 2009
- 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
- Mrs. Wytina Shavonne Ross, LPN
- Title
- Director
- Phone
- (919) 390-5576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3925 N Duke St
Durham, NC 27704-1780
Mailing address
3925 N Duke St
Durham, NC 27704-1780
Phone (910) 479-9050
National Provider Directory
National Provider DirectoryLocations
3925 N Duke St
Durham, NC 27704
Phone (910) 479-9050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237939200000",
"number": "1649412495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 N DUKE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041780",
"telephone_number": "910-479-9050",
"fax_number": "919-479-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 N DUKE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041780",
"telephone_number": "910-479-9050",
"fax_number": "919-479-9055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACHING OUT",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "WYTINA",
"authorized_official_middle_name": "SHAVONNE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-390-5576",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.