Organization Active NPI

Early Horizon Community LLC

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
National Provider Identifier
1861229288
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
EARLY HORIZON COMMUNITY LLC
Practice address
1528 Evans St Ste K2
Greenville, NC 27834-5368
Phone
(252) 227-5217
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Geraldine Jones, LCAS, LCSWANPI 1275012031
Title
Director
Phone
(252) 227-5217

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1528 Evans St Ste K2
Greenville, NC 27834-5368

Mailing address

1184 Queensland LN
Ayden, NC 28513-5601

National Provider Directory

National Provider Directory

Locations

1528 Evans St
Ste K2
Greenville, NC 27834
Phone (252) 227-5217

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1861229288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 QUEENSLAND LN",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285135601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 EVANS ST STE K2",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345368",
            "telephone_number": "252-227-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY HORIZON COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-227-5217",
        "authorized_official_credential": "LCAS, LCSWA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.