NPIMap

Organization Active NPI

Randolph Juvenile Day Reporting Center

  • Community/Behavioral Health Agency
  • Asheboro, NC
National Provider Identifier
1811058803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-076-030 Issued in NC
Legal business name
RANDOLPH JUVENILE DAY REPORTING CENTER
Practice address
1520 N Fayetteville St
Asheboro, NC 27203-3894
Phone
(336) 683-8228
Fax
(336) 683-8217
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Thurman Morrissett, LPC
Title
Manager
Phone
(336) 683-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-076-030 NC Primary

Addresses

Primary practice location

1520 N Fayetteville St
Asheboro, NC 27203-3894

Mailing address

1520 N Fayetteville St
Asheboro, NC 27203-3894
Phone (336) 683-8228

National Provider Directory

National Provider Directory
Tax ID family
County of Randolph7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1520 N Fayetteville St
Asheboro, NC 27203
Phone (336) 683-8228

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811058803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033894",
            "telephone_number": "336-683-8228",
            "fax_number": "336-683-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033894",
            "telephone_number": "336-683-8228",
            "fax_number": "336-683-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH JUVENILE DAY REPORTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISSETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-683-8228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-076-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.