Active NPI
New Direction Ministries, Incorporated
- Mental Illness Community Based Residential Treatment Facility
- Henderson, NC
National Provider Identifier
1962703777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- NEW DIRECTION MINISTRIES, INCORPORATED
- Practice address
- 825 Thomas Rd
Henderson, NC 27537-8970 - Phone
- (252) 430-3742
- NPI assigned
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacquetta Harrison Bullock, MBA, HIA
- Title
- Executive Directr
- Phone
- (252) 430-1681
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Pastoral Counselor | 101YP1600X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
825 Thomas Rd
Henderson, NC 27537-8970
Mailing address
PO Box 2581
Henderson, NC 27536-6581
Phone (252) 430-1680
National Provider Directory
National Provider Directory- Tax ID family
- New Direction Ministries Incorporated
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Henderson, NC
- NPI 1346555349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301529600000",
"number": "1962703777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2581",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275366581",
"telephone_number": "252-430-1680",
"fax_number": "252-430-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 THOMAS RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275378970",
"telephone_number": "252-430-3742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DIRECTION MINISTRIES, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2011-03-31",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "JACQUETTA",
"authorized_official_middle_name": "HARRISON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTR",
"authorized_official_telephone_number": "252-430-1681",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA, HIA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.