NPIMap

Organization Active NPI

New Opportunities Second Chance, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1679821227
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW OPPORTUNITIES SECOND CHANCE, INC.
Practice address
2604 Carver St
Suite C
Durham, NC 27705-2796
Phone
(919) 682-4771
Fax
(919) 683-2641
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Ms. Bethena M. Jackson, MA, CSAC, LCAS-ANPI 1881930006
Title
President
Phone
(919) 633-8360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2604 Carver St
Suite C
Durham, NC 27705-2796

Mailing address

PO Box 802
Durham, NC 27702-0802
Phone (919) 682-4771

National Provider Directory

National Provider Directory
Tax ID family
Another Chance for Opportunity Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2604 Carver St
Ste C
Durham, NC 27705
Phone (919) 682-4771

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1679821227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020802",
            "telephone_number": "919-682-4771",
            "fax_number": "919-683-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CARVER ST",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052796",
            "telephone_number": "919-682-4771",
            "fax_number": "919-683-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW OPPORTUNITIES SECOND CHANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BETHENA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-633-8360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CSAC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.