Active NPI
Herbert Reid Home Inc
- Mental Health Counselor
- Holly Springs, NC
National Provider Identifier
1669529228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 092399
- Legal business name
- HERBERT REID HOME INC
- Practice address
- 3733 Heritage Meadow Lane
Herbert Reid Home Inc
Holly Springs, NC 27540 - Phone
- (919) 961-1922
- Fax
- (919) 363-5312
- NPI assigned
- Jan 5, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- Yes
- Parent organization
- HERBERT REID HOME INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Herbert Reid
- Title
- President
- Phone
- (919) 961-1922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 092399 | NC | Primary |
Addresses
Primary practice location
3733 Heritage Meadow Lane
Herbert Reid Home Inc
Holly Springs, NC 27540
Mailing address
PO Box 1057
Herbert Reid Home Inc
Holly Springs, NC 27540
Phone (919) 961-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409159 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2320329 | Herbert Reid Home Inc | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider Directory- Part of
- Herbert Reid Home Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1669529228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1057",
"address_2": "HERBERT REID HOME INC",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "919-961-1922",
"fax_number": "919-363-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 HERITAGE MEADOW LANE",
"address_2": "HERBERT REID HOME INC",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "27540",
"telephone_number": "919-961-1922",
"fax_number": "919-363-5312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERBERT REID HOME INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HERBERT REID HOME INC",
"enumeration_date": "2007-01-05",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "HERBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-961-1922"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "092399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409159",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.