Organization Active NPI

Reaching Out

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1649412495
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mrs. Wytina Shavonne Ross, LPNNPI 1982845913
Title
Director
Phone
(919) 390-5576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

3925 N Duke St
Durham, NC 27704
Phone (910) 479-9050

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": "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.

Verify at the official NPI Registry.