Active NPI
Intentional Intervention, Inc.
- Professional Counselor
- Morganton, NC
National Provider Identifier
1851532907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6458
- Legal business name
- INTENTIONAL INTERVENTION, INC.
- Practice address
- 1329 Salem Rd
Morganton, NC 28655-4835 - Phone
- (828) 437-5901
- Fax
- (828) 437-8419
- NPI assigned
- Mar 19, 2009
- 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
- Angela J. Didway
- Title
- Executive Director
- Phone
- (828) 413-5421
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6458 | NC | Primary |
Addresses
Primary practice location
1329 Salem Rd
Morganton, NC 28655-4835
Mailing address
PO Box 655
Drexel, NC 28619-0655
Phone (828) 413-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103474 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1329 Salem Rd
Morganton, NC 28655
Phone (828) 437-5901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Morganton, NC
- NPI 1174656128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1851532907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "DREXEL",
"state": "NC",
"postal_code": "286190655",
"telephone_number": "828-413-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 SALEM RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554835",
"telephone_number": "828-437-5901",
"fax_number": "828-437-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTENTIONAL INTERVENTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "DIDWAY",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "828-413-5421"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103474",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.