PORT HEALTH SERVICES (NPI# 1417356411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417356411 |
Entity Type | Organization |
Organization Name | PORT HEALTH SERVICES |
Other Organization Name | PORT HUMAN SERVICES |
Practice Address |
50347 Nc Hwy 12 Frisco NC 27936 |
Mailing Address |
4300 -110 Sapphire Court Greenville NC 27834 |
Practice Telephone | 2528307540 |
Practice Fax Number | 2524130932 |
Mailing Telephone | 2528307540 |
Mailing Fax Number | 2524130932 |
Enumeration Date | 2014-08-15 |
Last Update Date | 2017-02-10 |
Authorized Official Name | THOMAS OLIVER SAVIDGE JR. (CEO) |
Authorized Official Telephone | 2528307540 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
PORT Human Services | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
1730505470 | Port Health Services | Community/Behavioral Health | 2206 Wrightsville Ave # A, Wilmington, NC 28403-2406 | 2014-03-05 |
1417293663 | Port Health Services | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2012-12-17 |
1245500909 | Port Health Services | Community/Behavioral Health | 2808 Croatan Hwy Suite B, Nags Head, NC 27959-9024 | 2012-01-11 |
1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
1902101496 | Port Health Services | Community/Behavioral Health | 1507 Martin Street, Wilmington, NC 28401-6422 | 2011-01-14 |
1497075618 | Port Health Services | Counselor | 4300-110 Sapphire Court, Greenville, NC 27834-9019 | 2010-06-10 |
1881822344 | Port Health Services | Counselor | 101 Arpdc St, Hertford, NC 27944-7901 | 2009-06-23 |
1518195072 | Port Health Services | Community/Behavioral Health | 102 Medical Dr Ste A&b, Elizabeth City, NC 27909-3361 | 2009-06-23 |
1396897161 | Port Health Services | Substance Abuse Rehabilitation Facility | 114 Health Drive, Greenville, NC 27834-7826 | 2007-01-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PORT HEALTH SERVICES | 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 |
Street Address |
50347 NC HWY 12 |
City | FRISCO |
State | NC |
Zip Code | 27936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194989897 | Nellene Marie Groetsch | Counselor | 50840 Highway 12, Frisco, NC 27936 | 2008-07-11 |
1619043585 | Mead L Slagle | Dentist | 50716 Hwy 12, Frisco, NC 27936 | 2006-11-24 |
1467940239 | Mead L. Slagle Dds Pllc | Dentist | 50716 Hwy 12, Frisco, NC 27936-0023 | 2018-04-27 |
1548346968 | Cheryl R Dambach | Physical Therapist | 51014 Fenstermacher Court, Frisco, NC 27936-0143 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
1568063717 | Amy Beth Hopkins Mpt PC Dba Your Personal Best Physical Therapy | Occupational Therapist | 9560 Legacy Dr Ste 210, Frisco, TX 75033-4556 | 2020-11-04 |
1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
1043810385 | Nancy Carol Nielsen | Registered Nurse | 2846 Sparks Dr, Frisco, TX 75036-0523 | 2020-10-27 |
1801495452 | Jennifer Rebecca Merlene | Clinical Nurse Specialist | 3003 Stonebrook Pkwy, Frisco, TX 75034-1310 | 2020-10-23 |
1750980363 | Carla Larue Mosby | Nurse Practitioner | 10150 Bowling Green Dr, Frisco, TX 75035-6984 | 2020-10-23 |
Find all providers in FRISCO |
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 |
---|---|---|---|---|
1780282632 | Jessica Heinze | Counselor | 5899 Preston Rd Ste 404, Frisco, TX 75034-9590 | 2020-10-13 |
1225656606 | Kiki Saron Mccray | Counselor | 10263 Summit Run Dr, Frisco, TX 75035-4726 | 2020-07-11 |
1285267336 | Abnf Holding Co Pllc | Counselor | 101 W Main St Suite 301, Frisco, CO 80443-8049 | 2020-02-18 |
1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
1841754215 | Kazmo Brain Center LLC | Counselor | 4433 Punjab Way Ste 403, Frisco, TX 75033-6746 | 2019-01-29 |
1417465394 | Monica Thompson | Counselor | 2770 Main St Ste 231, Frisco, TX 75033-4461 | 2018-01-13 |
1124537295 | Cobalt Counseling, LLC | Counselor | 2770 Main St Ste 166, Frisco, TX 75033-4387 | 2017-09-21 |
1720506579 | Crystal Thompson | Counselor | 3033 Ohio Dr Apt 3025, Frisco, TX 75035-6485 | 2017-08-31 |
1639610751 | Gina Gabriano | Counselor | 5040 Lorraine Dr, Frisco, TX 75034-7599 | 2017-03-09 |
1922545482 | Traci Test | Counselor | 15922 Eldorado Pkwy Ste 500-986, Frisco, TX 75035-5836 | 2017-01-23 |
Find all providers in FRISCO |
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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.