Southern Professional Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHERN PROFESSIONAL COUNSELING SERVICES, LLC

Practice address

306 West Broad St.
Elizabethtown, NC 28337-1894

Phone

(910) 862-4151

Fax

(910) 862-3470

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey B Campbell, LCSWNPI 1720068893

Title

Co-Owner

Phone

(910) 862-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Professional Counseling Services, LLC Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Brian Campbell, MSW

  • Clinical Social Worker
  • Elizabethtown, NC
  • NPI 1720068893

  NC

  Medicare reassignment Care Compare group NPD Authorized official
• Alice Janine Britt, LCSW

  • Clinical Social Worker
  • Lumberton, NC
  • NPI 1730293523

  NC

  Medicare reassignment Care Compare group NPD
• Courtney Alyson Lloyd, MSW

  • Clinical Social Worker
  • Elizabethtown, NC
  • NPI 1538898762
  NPD
• Alan Craig Britt, MA, LPCA

  • Professional Counselor
  • Lumberton, NC
  • NPI 1891341582
  NPD (past)
• Franklin D Egolf Jr., PSYD

  • Clinical Psychologist
  • Elizabethtown, NC
  • NPI 1104805068
  NPD (past)
• Stefanie Lambert, LCSWA

  • Clinical Social Worker
  • Lumberton, NC
  • NPI 1083156228
  NPD (past)
• Brenda A Melvin, LCSW

  • Clinical Social Worker
  • Elizabethtown, NC
  • NPI 1255311155
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1881623973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371894",
            "telephone_number": "910-862-4151",
            "fax_number": "910-862-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WEST BROAD ST.",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371894",
            "telephone_number": "910-862-4151",
            "fax_number": "910-862-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PROFESSIONAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-862-4151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Professional Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harvey C Schultz Jr., D.C.
• Shelby Stephenson MD
• James Smith, PT
• Joshua Smith, OTR/L
• Southeastern Health Physician Services
• Sprout Educational Assessment & Consulting Services
• Shakonda Lashawn Strayhorn, M.D.
• Sunbridge Retirement Care Associates LLC
• Suzanne S Huggins
• Sandra D Sykes

• All providers in Elizabethtown, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.