NPIMap

Organization Active NPI

Family Intervention & Prevention Services, LLC

  • Professional Counselor
  • Louisburg, NC
National Provider Identifier
1760675045
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FAMILY INTERVENTION & PREVENTION SERVICES, LLC
Practice address
211 Court St
Louisburg, NC 27549-2565
Phone
(919) 340-1626
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Ms. Tanya Victoria Smith, BS, BA, MAT
Title
Executive Director
Phone
(919) 340-1626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

211 Court St
Louisburg, NC 27549-2565

Mailing address

211 Court St
Louisburg, NC 27549-2565
Phone (919) 340-1626

Other identifiers 1

IdentifierTypeStateIssuer
6107400MedicaidNC

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1760675045",
    "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": "275492565",
            "telephone_number": "919-340-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COURT ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492565",
            "telephone_number": "919-340-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INTERVENTION & PREVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "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": "Ms.",
        "authorized_official_credential": "BS, BA, MAT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

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