Personalized Therapy, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4144 Issued in NC

Legal business name

PERSONALIZED THERAPY, INC.

Practice address

2317 Executive Cir Ste B
Greenville, NC 27834-3762

Phone

(252) 353-4968

Fax

(252) 353-4967

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kim McIntyre, MS, LPC

Title

Clinical Director

Phone

(252) 353-4968

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1902028228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-353-4968",
            "fax_number": "252-353-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 EXECUTIVE CIR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343762",
            "telephone_number": "252-353-4968",
            "fax_number": "252-353-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-353-4968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4144",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twyla Y. Perryman, SLP
• Person to Person Transport LLC
• Jennifer Beacham Person, PA-C
• Personalized Therapy Inc
• Personalized Therapy, Inc.
• Joseph P Pestaner, MD
• Mary Ofem Peter, MD
• Tiffany M Peters, D.D.S.
• Travis Petersen, BOCP, COA
• Catherine Respess Peterson, MSW, LCSW

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.