Individual provider Active NPI

Zavier Nichols McCray, LCSW

  • Community/Behavioral Health Agency
  • Louisburg, NC
National Provider Identifier
1962734640
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C005216 Issued in NC
Practice address
211 Court St
Louisburg, NC 27549-2503
Phone
(919) 340-1626
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C005216 NC Primary

Addresses

Primary practice location

211 Court St
Louisburg, NC 27549-2503

Mailing address

211 Court St
Louisburg, NC 27549-2503
Phone (919) 340-1626

Other identifiers 1

IdentifierTypeStateIssuer
104100000XMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005216NCMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Life, Inc Community/Behavioral Health CurrentSince Aug 22, 2016 Accepting new patients

Locations

150 E Arlington Blvd
Ste E
Greenville, NC 27858
Phone (252) 551-5544

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1962734640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COURT ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492503",
            "telephone_number": "919-340-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COURT ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492503",
            "telephone_number": "919-340-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "ZAVIER",
        "middle_name": "NICHOLS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.