EASTER SEALS UCP (NPI# 1457745697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457745697 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP |
| Practice Address |
4038 Capital Dr Rocky Mount NC 27804-3123 |
| Practice Telephone | 2524672860 |
| Mailing Telephone | 2524672860 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MS. ANDREA DENISE LANE (SUBSTANCE ABUSE) |
| Authorized Official Telephone | 9192748356 |
| Authorized Official Credential | LCAS-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-A | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1558786046 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl., Suite 100, Raleigh, NC 27607 | 2014-02-20 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1225396013 | Easter Seals Ucp | Community/Behavioral Health | 2260 S Church St, Suite 303, Burlington, NC 27215-5390 | 2012-04-30 |
| 1851547129 | Easter Seals Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2008-08-18 |
| 1992841985 | Easter Seals Ucp | Custodial Care Facility | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-29 |
| 1023154036 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-29 |
| 1679627392 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| 1144374869 | Easter Seals Ucp | Community/Behavioral Health | 2315 Myron Dr, Raleigh, NC 27607-3344 | 2007-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Easter Seals UCP North Carolina & Virginia Inc. | 5171 Glenwood Ave Ste 211, Raleigh, North Carolina 27612-3266 |
| Virginia Business Entities | Easter Seals UCP Virginia Inc. | 5171 Glenwood Avenue, Ste 400, Raleigh, North Carolina 27612-3266 |
| Street Address |
4038 CAPITAL DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558425355 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2006-12-19 |
| 1275679383 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 4038 Capital Dr, Rocky Mount, NC 27804-3123 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124515689 | Michael Ray Dixon | Counselor | 13037 Us Highway 64 Alt W, Rocky Mount, NC 27801-9774 | 2018-04-19 |
| 1528457678 | Sandra Lamprecht | Counselor | 108 Clubview Ct, Rocky Mount, NC 27804-6224 | 2015-01-13 |
| 1114240231 | Marion Everette Frazier | Counselor | 203 S Grace St, Rocky Mount, NC 27804-5604 | 2010-03-03 |
| 1588742696 | Deborah Bullock Burnette | Counselor | 852 Country Club Rd, Rocky Mount, NC 27804-1706 | 2006-11-02 |
| 1790899961 | Amber Hayes Hinson | Counselor | 130 Jones Rd, Rocky Mount, NC 27804-2349 | 2006-08-17 |
| 1366916447 | Chelsea Banks | Counselor | 3208 Sunset Ave Ste B, Rocky Mount, NC 27804-3590 | 2019-01-11 |
| 1639660905 | Tracy Irenette Cooper | Counselor | 130 Jones Rd, Rocky Mount, NC 27804 | 2018-05-22 |
| 1215449012 | Keirstin Cotto | Counselor | 104 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2017-11-02 |
| 1366899247 | Lucretia Glass-wooten | Counselor | 209 N Pearl St, Rocky Mount, NC 27804-5426 | 2016-05-19 |
| 1285018168 | Healthy Transformations Counseling, PC | Counselor | 107 Se Main St, Suite 208, Rocky Mount, NC 27801-5400 | 2015-07-10 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
Please comment or provide details below to improve the information on EASTER SEALS UCP.
| 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.