Organization Active NPI

Parakletos Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, NC
National Provider Identifier
1669532552
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARAKLETOS SERVICES INC.
Practice address
1528 Evans St
Suite M
Greenville, NC 27834-5311
Phone
(252) 321-7009
Fax
(252) 321-2740
NPI assigned
Dec 11, 2006
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Mr. Jeff Nathaniel Cooke, BS
Title
President
Phone
(252) 321-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1528 Evans St
Suite M
Greenville, NC 27834-5311

Mailing address

1528 Evans St
Suite M
Greenville, NC 27834-5311
Phone (252) 321-7009

Other identifiers 1

IdentifierTypeStateIssuer
8300929MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Parakletos Services Inc2 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.

Locations

1528 Evans St
Ste M
Greenville, NC 27834
Phone (252) 321-7009

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1669532552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 EVANS ST",
            "address_2": "SUITE M",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345311",
            "telephone_number": "252-321-7009",
            "fax_number": "252-321-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 EVANS ST",
            "address_2": "SUITE M",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345311",
            "telephone_number": "252-321-7009",
            "fax_number": "252-321-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAKLETOS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-321-7009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300929",
            "state": "NC"
        }
    ],
    "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 Oct 19, 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.