Organization Active NPI

Paradigm, Inc.

  • Professional Counselor
  • Winterville, NC
National Provider Identifier
1841504263
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PARADIGM, INC.
Practice address
4054 S Memorial Dr
Suite J&K
Winterville, NC 28590-5839
Phone
(252) 561-8112
Fax
(252) 561-7455
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Mr. Jason Tremain Barnett
Title
Ceo
Phone
(252) 561-8112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4054 S Memorial Dr
Suite J&K
Winterville, NC 28590-5839

Mailing address

PO Box 31091
Greenville, NC 27833-1091
Phone (252) 561-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000614 NC Part B Supplier - Clinic/Group Practice 4789708934 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Winterville, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1841504263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31091",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331091",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 S MEMORIAL DR",
            "address_2": "SUITE J&K",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285905839",
            "telephone_number": "252-561-8112",
            "fax_number": "252-561-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TREMAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-561-8112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.