Organization Active NPI

Albemarle Mental Health Center

  • Point of Service
  • Nags Head, NC
National Provider Identifier
1831284124
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2176 Issued in NC
Legal business name
ALBEMARLE MENTAL HEALTH CENTER
Practice address
2514 South Croatan Highway
Nags Head, NC 27959
Phone
(252) 441-9400
Fax
(252) 441-3366
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Marla L. Hueston, MA LPC
Title
Clinical Counselor
Phone
(252) 441-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 2176 NC Primary

Addresses

Primary practice location

2514 South Croatan Highway
Nags Head, NC 27959

Mailing address

PO Box 2873
Kill Devil Hills, NC 27948-2873

Other identifiers 2

IdentifierTypeStateIssuer
2176OtherNCLICENSE
6102514MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1831284124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2873",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279482873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 SOUTH CROATAN HIGHWAY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "27959",
            "telephone_number": "252-441-9400",
            "fax_number": "252-441-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HUESTON",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "252-441-9400",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2176",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.