Organization Active NPI

Intentional Intervention, Inc.

  • Professional Counselor
  • Morganton, NC
National Provider Identifier
1851532907
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6458 Issued in NC
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

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Angela J. DidwayNPI 1174656128
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6103474MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.