ALBEMARLE MENTAL HEALTH CENTER (NPI# 1306030820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306030820 |
| Entity Type | Organization |
| Organization Name | ALBEMARLE MENTAL HEALTH CENTER |
| Practice Address |
804 Washington St Plymouth NC 27962-2224 |
| Practice Telephone | 2527931154 |
| Mailing Telephone | 2527931154 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | CHARLES FRANKLIN JR. (AREA DIRECTOR) |
| Authorized Official Telephone | 2523351113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 07051 | 01 |
| NC | 3404943 | 05 | |
| NC | 6006206 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174791560 | Albemarle Mental Health Center | Clinical Neuropsychologist | 102 Medical Drive, Williamston, NC 27892-2156 | 2008-02-19 |
| 1992973895 | Albemarle Mental Health Center | Clinical Neuropsychologist | 804 Washington Street, Plymouth, NC 27962-2224 | 2008-02-13 |
| 1245424639 | Albemarle Mental Health Center | Counselor | 1095 Main St, Swan Quarter, NC 27885-9753 | 2007-08-29 |
| 1639298219 | Albemarle Mental Health Center | Community/Behavioral Health | 305 E. Main Street, Elizabeth City, NC 27909-4425 | 2007-03-28 |
| 1124173620 | Albemarle Mental Health Center | Clinical Neuropsychologist | 101arpdc Street, Hertford, NC 27944 | 2007-01-24 |
| 1386798197 | Albemarle Mental Health Center | Social Worker | 407 N Main Hwy, Manteo, NC 27954 | 2007-01-22 |
| 1710031521 | Albemarle Mental Health Center | Social Worker | 101 Arpdc Street, Hertford, NC 27944 | 2007-01-22 |
| 1245384056 | Albemarle Mental Health Center | Clinic/Center | 1411 Parkview Dr, Elizabeth City, NC 27909-6533 | 2007-01-22 |
| 1194879908 | Albemarle Mental Health Center | Social Worker | 6644 Caratoke Hwy, Grandy, NC 27939 | 2007-01-22 |
| 1003960816 | Albemarle Mental Health Center | Social Worker | 202 W Hicks Street, Edenton, NC 27932 | 2007-01-22 |
| Street Address |
804 WASHINGTON ST |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083842264 | Beaufort County Hospital Association Inc | Psychiatry & Neurology | 804 Washington St, Plymouth, NC 27962-2224 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272787 | Alec Medeiros | Counselor | 16 Chickadee Way, Plymouth, MA 02360-1659 | 2020-07-13 |
| 1215569991 | Jessica Lynn Payne | Counselor | 260 S Union St, Plymouth, MI 48170-1612 | 2020-02-10 |
| 1699316117 | Kevin Louis Avitabile | Counselor | 62 Nautical Way, Plymouth, MA 02360-8611 | 2019-10-06 |
| 1194383323 | Passera Counseling, Pllc | Counselor | 42327 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2019-06-03 |
| 1316439763 | Aman Patel | Counselor | 200 Carver Rd, Plymouth, MA 02360-5210 | 2018-06-01 |
| 1255867230 | Sandra Somerville | Counselor | 933 Long Pond Rd, Plymouth, MA 02360-2635 | 2017-05-11 |
| 1346797438 | Barbara Lydon | Counselor | 118 Long Pond Rd Ste 106, Plymouth, MA 02360-2662 | 2016-09-06 |
| 1679020234 | Lisa Stringer | Counselor | 22 Jasons Lane, Plymouth, MA 02360 | 2016-09-01 |
| 1194173948 | William David Hunt IIi | Counselor | 164 Raymond Rd, Plymouth, MA 02360-2357 | 2016-06-01 |
| 1972959872 | Gregory Dominick Sorensen | Counselor | 18 Hopkins Road, Plymouth, MA 02360-3547 | 2016-05-10 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.