NPIMap

Organization Active NPI

Reach of Jackson County

  • Mental Health Counselor
  • Sylva, NC
National Provider Identifier
1710174487
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2462/4691/4506 Issued in NC
Legal business name
REACH OF JACKSON COUNTY
Practice address
22 Browning Rd
Sylva, NC 28779-3202
Phone
(828) 631-4488
Fax
(828) 631-4477
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Ms. Jean Bockstahler
Title
Director
Phone
(828) 631-4488

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2462/4691/4506 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 2462/ CERT.#42 NC
Mental Health Counselor 101YM0800X 2462/4691/4506 NC Primary

Addresses

Primary practice location

22 Browning Rd
Sylva, NC 28779-3202

Mailing address

PO Box 1908
Sylva, NC 28779-1908
Phone (828) 631-4488

Other identifiers 1

IdentifierTypeStateIssuer
6005520MedicaidNC

Other names 1

  • Reach of Jackson Co. Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1710174487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287791908",
            "telephone_number": "828-631-4488",
            "fax_number": "828-631-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BROWNING RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793202",
            "telephone_number": "828-631-4488",
            "fax_number": "828-631-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH OF JACKSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "BOCKSTAHLER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-631-4488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2462/4691/4506",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2462/ CERT.#42",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2462/4691/4506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005520",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reach of Jackson Co. Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.