NPIMap

Organization Active NPI

Program Resource Institute, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Southern Pines, NC
National Provider Identifier
1679779391
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-063-075 Issued in NC
Legal business name
PROGRAM RESOURCE INSTITUTE, INC.
Practice address
1505 US Highway 1 S
Southern Pines, NC 28387-7036
Phone
(910) 693-2641
Fax
(910) 692-3489
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Mr. Ted Fitzgerald, M.S.
Title
Executive Director
Phone
(910) 891-7062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MHL-063-075 NC
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MHL-063-075 NC Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHL-063-075 NC

Addresses

Primary practice location

1505 US Highway 1 S
Southern Pines, NC 28387-7036

Mailing address

108 N Orange Ave
Dunn, NC 28334-3826
Phone (910) 891-7062

Other identifiers 1

IdentifierTypeStateIssuer
8301954BMedicaidNC

Other names 1

  • PRI Counseling Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Pri Counseling Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1679779391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ORANGE AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343826",
            "telephone_number": "910-891-7062",
            "fax_number": "910-892-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 US HIGHWAY 1 S",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877036",
            "telephone_number": "910-693-2641",
            "fax_number": "910-692-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM RESOURCE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-891-7062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL-063-075",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-063-075",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-063-075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301954B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRI Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.