Active NPI
Tar Heel Human Services, Inc.
- Speech-Language Pathologist
- Beulaville, NC
National Provider Identifier
1841243045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TAR HEEL HUMAN SERVICES, INC.
- Practice address
- 191 North NC Hwy. 41
Beulaville, NC 28518 - Phone
- (910) 298-6207
- Fax
- (910) 298-6293
- NPI assigned
- May 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Bruce Jones
- Title
- President
- Phone
- (910) 298-6207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
191 North NC Hwy. 41
Beulaville, NC 28518
Mailing address
PO Box 1321
Beulaville, NC 28518-1321
Phone (910) 298-6207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017ER | Other | NC | BCBS |
| 7211568 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Beulaville, NC
- NPI 1801878129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841243045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1321",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285181321",
"telephone_number": "910-298-6207",
"fax_number": "910-298-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 NORTH NC HWY. 41",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "28518",
"telephone_number": "910-298-6207",
"fax_number": "910-298-6293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAR HEEL HUMAN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-298-6207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "017ER",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211568",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beulaville, NC
- Amanda Bass Stewart, PHARMD
- Leeanne Costin Sutton, LPT
- Lisa Ann Sylvia, OT/L
- Tar Heel Human Services-Mental Health Division, Inc.
- Tar Heel Human Services-Mental Health Division, Inc.
- Annette S Taylor, RPH
- Haleigh Morgan Tharrington, SLP
- Georgia Brooke Thigpen, MOT, OTR/L
- Angela Marie Thomas, P.T., D.P.T
- Nancy Thomas
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.