NPIMap

Organization Active NPI

Prodigious Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1831244094
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
875 Issued in NC
Legal business name
PRODIGIOUS COUNSELING SERVICES, LLC
Practice address
208 N Garnett St
Suite F.
Henderson, NC 27536-4673
Phone
(252) 433-0300
Fax
(252) 433-8054
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Mr. Bobby Faison, LCASNPI 1235285032
Title
President
Phone
(252) 433-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 875 NC Primary

Addresses

Primary practice location

208 N Garnett St
Suite F.
Henderson, NC 27536-4673

Mailing address

208 N Garnett St
Suite F.
Henderson, NC 27536-4673
Phone (252) 433-0300

National Provider Directory

National Provider Directory
Tax ID family
Prodigious Health Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

208 N Garnett St
Ste F
Henderson, NC 27536
Phone (252) 433-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1831244094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N GARNETT ST",
            "address_2": "SUITE F.",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364673",
            "telephone_number": "252-433-0300",
            "fax_number": "252-433-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N GARNETT ST",
            "address_2": "SUITE F.",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364673",
            "telephone_number": "252-433-0300",
            "fax_number": "252-433-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGIOUS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-433-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "875",
            "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 Jan 24, 2008; 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.