NPIMap

Organization Active NPI

Johnston Health Services Corporation

Doing business as Johnston Health Behavioral Health Services

  • Psychiatric Hospital Unit
  • Smithfield, NC
National Provider Identifier
1780628354
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0151 Issued in NC
Legal business name
JOHNSTON HEALTH SERVICES CORPORATION
Doing business as
Johnston Health Behavioral Health Services
Practice address
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone
(919) 938-7540
Fax
(919) 934-4835
NPI assigned
Jun 15, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mr. Kevin Michael Cielinski
Title
Cfo
Phone
(919) 938-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0151 NC Primary

Addresses

Primary practice location

509 N Brightleaf Blvd
Smithfield, NC 27577

Mailing address

509 N Brightleaf Blvd
Attn: Eddie Klein, Cfo
Smithfield, NC 27577-4407
Phone (919) 938-7128

Other names 1

  • Johnston Health Behavioral Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140429000582 NC Part A Provider - Hospital 2163655283 1 other NPI on this enrollment
Practice locations: Smithfield, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780628354. Details of each certification follow.

Hospital certification: CCN 34S090

Legal name
JOHNSTON HEALTH SERVICES CORPORATION
Doing business as
UNC HEALTH JOHNSTON BEHAVIORAL HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 2013 in NC
Enrollment address
509 N Brightleaf Boulevard
Smithfield, NC 27577-4407
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Johnston Health Services Corporation5 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

507 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 584-8111

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Massengill Individual Corporate DirectorBoard Member Nov 1, 2020
Patricia Jones Individual Corporate DirectorBoard Member Nov 1, 2020
Kevin Cielinski Individual Corporate OfficerVP Finance - Cfo Apr 3, 2022
Tracey Boykin Carson Individual Corporate OfficerCno / Dec 3, 2025
W-2 Managing Employee Jan 1, 2021
Jeffrey Parlier Individual Corporate DirectorBoard Member Nov 1, 2020
Robert Bradford Oakes Individual Corporate DirectorBod Nov 21, 2019
University of North Carolina Health Care System Organization, Morrisville, NC Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Operational/Managerial Control Feb 1, 2014 35.25%
David Mills Individual Corporate DirectorBod Nov 15, 2018
Michael Chad Setliff Individual Corporate DirectorBoard Member Nov 21, 2024
Brent W Thornton Individual W-2 Managing EmployeeDirector of Behavorial Health Serv Aug 19, 2024
Rodney L McCaskill Individual Corporate DirectorBod Unc Mar 1, 2021
Richard Alioto Individual Corporate DirectorBoard Member Nov 21, 2024
Lacey Barnes Individual Corporate DirectorBoard Member Oct 30, 2023
Teddy Gilbert Godwin Individual Corporate DirectorBod Feb 6, 2017
Marilyn R Pearson Individual Corporate DirectorBoard Member Mar 22, 2018
Benjamin J Mathew Individual Corporate DirectorBoard Member- Unc Health Feb 1, 2023
Tommy Williams Individual Corporate OfficerCeo Dec 12, 2019
Hasan Ahmad Baloch Individual Corporate Director Nov 1, 2025

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1780628354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "address_2": "ATTN: EDDIE KLEIN, CFO",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-938-7128",
            "fax_number": "919-939-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-938-7540",
            "fax_number": "919-934-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CIELINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-938-7128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Johnston Health Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnston Health Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.