Organization Active NPI

Southeastern Regional Mental Health Center

  • Counselor
  • Lumberton, NC
National Provider Identifier
1689809782
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Practice address
207 W 29TH St
Lumberton, NC 28358-2901
Phone
(910) 618-5606
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mrs. Vicki Evans
Title
Cheif Finance Officer
Phone
(910) 738-5261

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

207 W 29TH St
Lumberton, NC 28358-2901

Mailing address

450 Country Club Rd
Lumberton, NC 28360-9494
Phone (910) 738-5261

Other names 1

  • Arbor CAS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Regional Mental Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

507 W Covington St
Laurinburg, NC 28352
Phone (910) 276-7360

450 Country Club Rd
Lumberton, NC 28360
Phone (910) 272-1230

300 Jefferson St
Whiteville, NC 28472

306 Jefferson St
Whiteville, NC 28472
Phone (910) 642-6585

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1689809782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609494",
            "telephone_number": "910-738-5261",
            "fax_number": "910-272-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 29TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582901",
            "telephone_number": "910-618-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CHEIF FINANCE OFFICER",
        "authorized_official_telephone_number": "910-738-5261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor CAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.