Destined Path Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINED PATH COMMUNITY SERVICES

Practice address

201 Tyson St
Greenville, NC 27834-1847

Phone

(252) 864-9334

Fax

(252) 304-3945

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

James Robert Tucker, LCASNPI 1265865760

Title

Cfo

Phone

(252) 864-9334

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James Robert Tucker, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
  • NPI 1265865760
  NPD Authorized official
• Keirstin Cotto, LCMHCA, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
  • NPI 1215449012
  NPD (past)

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1952004335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1195",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278121195",
            "telephone_number": "252-864-9334",
            "fax_number": "252-304-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TYSON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341847",
            "telephone_number": "252-864-9334",
            "fax_number": "252-304-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED PATH COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-864-9334",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Designing the Future Home Care, Inc.
• Hannah Howard Desoto, LCSW, BCD
• Robert Lynn Desoto, LCSW, BCD
• Travis L Dessoffy, CPO
• Destination Management &Associates
• Madeline Desvergers, RN
• Samantha Determan, SLP
• Sailaja Devagiri, MD
• James E Devente, MD
• Arooj Devi, MD

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.