NPIMap

Organization Active NPI

One Love Periodic Services, Inc

  • Community/Behavioral Health Agency
  • Morganton, NC
National Provider Identifier
1710275409
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE LOVE PERIODIC SERVICES, INC
Practice address
103 N Green St
Morganton, NC 28655-3466
Phone
(828) 433-4567
Fax
(828) 433-4576
NPI assigned
Jul 14, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Stevie Lynn Wideman
Title
Ceo
Phone
(828) 433-4567

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-012-095 NC
Professional Counselor 101YP2500X NU
Psychiatry Physician 2084P0800X NU
Foster Care Agency 253J00000X NC
Foster Care Agency 253J00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

103 N Green St
Morganton, NC 28655-3466

Mailing address

103 North Green Street
Morganton, NC 28655-3483
Phone (828) 433-4567

Other practice location 1

8801 J M Keynes Dr
Charlotte, NC 28262-8436
Phone (704) 640-5501

Other practice location 2

110 S Sterling St
Morganton, NC 28655-3483
Phone (828) 433-4567

Other practice location 3

216 valdese ave
drexler, NC 28619
Phone (828) 391-1943

Other practice location 4

103 N Green St
Morganton, NC 28655-3466
Phone (828) 433-4567

Other identifiers 7

IdentifierTypeStateIssuer
8301457HMedicaidNC
6603804MedicaidNC
8703220MedicaidNC
5916270MedicaidNC
3410218MedicaidNC
8301457VMedicaidNC
6008242MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
One Love Periodic Services17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

103 N Green St
Morganton, NC 28655
Phone (828) 433-4567

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710275409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NORTH GREEN STREET",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553483",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N GREEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553466",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 J M Keynes Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628436",
            "country_code": "US",
            "telephone_number": "704-640-5501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553483",
            "country_code": "US",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 valdese ave",
            "address_purpose": "LOCATION",
            "city": "drexler",
            "state": "NC",
            "postal_code": "28619",
            "country_code": "US",
            "telephone_number": "828-391-1943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 N Green St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553466",
            "country_code": "US",
            "telephone_number": "828-433-4567",
            "fax_number": "828-433-4576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE LOVE PERIODIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-433-4567"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-012-095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603804",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703220",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916270",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410218",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301457V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008242",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.