NPIMap

Organization Active NPI

Southern Cross Commuinty Services Inc

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1679650451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6103238 Issued in NC
Legal business name
SOUTHERN CROSS COMMUINTY SERVICES INC
Practice address
2210 Wrightsville Ave
Suite 4-D
Wilmington, NC 28403-2575
Phone
(910) 763-3773
Fax
(910) 763-3799
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sheila Marie Eakins, LPC
Title
Licensed Professional Counselor
Phone
(910) 763-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6103238 NC Primary

Addresses

Primary practice location

2210 Wrightsville Ave
Suite 4-D
Wilmington, NC 28403-2575

Mailing address

3333 Ashley Cir
Wilmington, NC 28403-2601
Phone (910) 763-3773

Other names 1

  • Southern Cross Mental Health Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Cross Community Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2210 Wrightsville Ave
Ste 4D
Wilmington, NC 28403
Phone (910) 763-3773

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679650451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ASHLEY CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032601",
            "telephone_number": "910-763-3773",
            "fax_number": "910-763-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WRIGHTSVILLE AVE",
            "address_2": "SUITE 4-D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032575",
            "telephone_number": "910-763-3773",
            "fax_number": "910-763-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CROSS COMMUINTY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAKINS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "910-763-3773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6103238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Cross Mental Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.