NPIMap

Organization Active NPI

Program Resource Institute, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Aberdeen, NC
National Provider Identifier
1689774861
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LPC - 2870 Issued in NC
Legal business name
PROGRAM RESOURCE INSTITUTE, INC.
Practice address
206 N Pine St
Aberdeen, NC 28315-2732
Phone
(910) 944-2189
Fax
(910) 944-7443
NPI assigned
Sep 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X MHL-076-082 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC - 2870 NC Primary

Addresses

Primary practice location

206 N Pine St
Aberdeen, NC 28315-2732

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
8301451MedicaidNC

Other names 1

  • Bethesda Link Adolescent Program 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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689774861",
    "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": "206 N PINE ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152732",
            "telephone_number": "910-944-2189",
            "fax_number": "910-944-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM RESOURCE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "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": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NC",
            "license": "MHL-076-082",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LPC - 2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Link Adolescent Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.