NPIMap

Organization Active NPI

Easter Seals Ucp

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1891135810
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8895 Issued in NC
Legal business name
EASTER SEALS UCP
Practice address
3801 Lake Boone TRL
100
Raleigh, NC 27607
Phone
(919) 368-6373
NPI assigned
Jul 5, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Ms. Elyse Helen Frosch, M.ED/ED.S, LPC, QPNPI 1912226028
Title
Intensive in-Home Team Lead
Phone
(919) 368-6373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8895 NC Primary

Addresses

Primary practice location

3801 Lake Boone TRL
100
Raleigh, NC 27607

Mailing address

3801 Lake Boone TRL
100
Raleigh, NC 27607-2934
Phone (919) 368-6373

Other identifiers 1

IdentifierTypeStateIssuer
1891135810MedicaidNC

National Provider Directory

National Provider Directory

Locations

3801 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 368-6373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1891135810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE BOONE TRL",
            "address_2": "100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072934",
            "telephone_number": "919-368-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE BOONE TRL",
            "address_2": "100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-368-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "FROSCH",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "INTENSIVE IN-HOME TEAM LEAD",
        "authorized_official_telephone_number": "919-368-6373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED/ED.S, LPC, QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891135810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.