Independence Human Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3290 Issued in NC

Legal business name

INDEPENDENCE HUMAN SERVICES, INC.

Practice address

3722 Benson Dr Ste 101
Raleigh, NC 27609-7321

Phone

(919) 830-5749

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles F. Blackburn, PH.D.

Title

Managing Partner

Phone

(919) 830-5749

Specialties & licenses 1

Addresses

Tax ID family

Independence Human Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Independence Human Services, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1043453939
  NPD tax ID

Locations

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1841439684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 BENSON DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097321",
            "telephone_number": "919-830-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 BENSON DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097321",
            "telephone_number": "919-830-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-830-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Home Health LLC
• In Home Health, LLC
• Kalista Morgan Inch
• Inclusive Pathways Counseling, PLLC
• Independence Human Services, Inc.
• Independent Living Technologies Inc.
• Independent Nephrology Services, Inc.
• Independent Personal Training Studios
• Independently Moving, LLC
• Indigo Integrative Psychiatry and Wellness

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.