NPIMap

Organization Active NPI

Family Intervention & Prevention Services, LLC

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1750431318
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY INTERVENTION & PREVENTION SERVICES, LLC
Practice address
200 Parkview Drive West
Suite a
Henderson, NC 27536-2526
Phone
(252) 572-2342
Fax
(252) 572-2526
NPI assigned
Jan 12, 2007
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Miss Tanya Victoria Smith, MAT
Title
Executive Director
Phone
(919) 340-1626

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X
Psychiatric Pharmacist 1835P1300X
Community/Behavioral Health Agency 251S00000X MHL-035-052 NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

200 Parkview Drive West
Suite a
Henderson, NC 27536-2526

Mailing address

211 Court St
Louisburg, NC 27549-2526
Phone (919) 340-1626

National Provider Directory

National Provider Directory
Tax ID family
Family Intervention Prevention Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

200 W Parkview Dr
#A
Henderson, NC 27536
Phone (252) 572-2342

211 Court St
Louisburg, NC 27549
Phone (919) 340-1626

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1750431318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COURT ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492526",
            "telephone_number": "919-340-1626",
            "fax_number": "919-340-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARKVIEW DRIVE WEST",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362526",
            "telephone_number": "252-572-2342",
            "fax_number": "252-572-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INTERVENTION & PREVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-340-1626",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MAT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-035-052",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.