NPIMap

Organization Active NPI

Carolina Choice LLC

  • Mental Health Counselor
  • New Bern, NC
National Provider Identifier
1891948295
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAROLINA CHOICE LLC
Practice address
2117 S Glenburnie Rd
Suite 15-16
New Bern, NC 28562-2280
Phone
(252) 633-3855
Fax
(252) 633-1548
NPI assigned
Oct 29, 2008
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Ms. Donna Simon
Title
Billing Officer
Phone
(252) 633-3855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2117 S Glenburnie Rd
Suite 15-16
New Bern, NC 28562-2280

Mailing address

PO Box 12189
New Bern, NC 28561-2189
Phone (252) 633-3855

Other identifiers 1

IdentifierTypeStateIssuer
6006562MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Choice LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

2117 S Glenburnie Rd
Ste 1516
New Bern, NC 28562

Practitioners & affiliated clinicians

Practitioners 6

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1891948295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12189",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612189",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S GLENBURNIE RD",
            "address_2": "SUITE 15-16",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622280",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "252-633-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.