NPIMap

Organization Active NPI

Great Place to Start Behavioral Health Services

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1679042683
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GREAT PLACE TO START BEHAVIORAL HEALTH SERVICES
Practice address
1425 S Glenburnie Rd Ste 3B
New Bern, NC 28562-2610
Phone
(252) 349-2154
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mrs. Laquita Lashall Courman, LCSWANPI 1053796102
Title
Program Director/Owner
Phone
(252) 349-2154

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1425 S Glenburnie Rd Ste 3B
New Bern, NC 28562-2610

Mailing address

1425 S Glenburnie Rd Ste 3B
New Bern, NC 28562-2610
Phone (252) 349-2154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108002859 NC Part B Supplier - Clinic/Group Practice 4486089026 Receives reassigned benefits from 4 practitioners
Practice locations: New Bern, NC

National Provider Directory

National Provider Directory

Locations

1425 S Glenburnie Rd
Ste 2
New Bern, NC 28562
Phone (252) 336-3646

1425 S Glenburnie Rd
Ste 3B
New Bern, NC 28562
Phone (252) 349-2154

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1679042683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 3B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-349-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 3B",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-349-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLACE TO START BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "COURMAN",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "LASHALL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/OWNER",
        "authorized_official_telephone_number": "252-349-2154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.