EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI# 1720324536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720324536 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA |
| Practice Address |
3801 Lake Boone Trl Raleigh NC 27607-2934 |
| Practice Telephone | 9197713128 |
| Mailing Telephone | 9197713128 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | MR. JAMES EDWARD ROBINSON (MST PROGRAM SUPERVISOR/OPT) |
| Authorized Official Telephone | 9197713128 |
| Authorized Official Credential | LCSW-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P006686 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265868228 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 3321 Princeton Mill Pkwy, Raleigh, NC 27612-5518 | 2013-09-23 |
| 1619303252 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 851 Hadley Rd, Raleigh, NC 27610-4716 | 2013-09-14 |
| 1528494168 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 11381 Involute Pl, Suite 103, Raleigh, NC 27617-8520 | 2013-09-14 |
| 1700212347 | Easter Seals Ucp North Carolina & Virginia | Custodial Care Facility | 6011 Winterpointe Ln, Raleigh, NC 27606-5013 | 2013-09-14 |
| 1538593132 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 813 Chalmers St, Durham, NC 27707-4806 | 2013-08-30 |
| 1356778716 | Easter Seals Ucp North Carolina & Virginia | Case Management | 11635 N Main St, Ste A, Archdale, NC 27263-3270 | 2013-10-01 |
| 1619304078 | Easter Seals Ucp North Carolina & Virginia | Community/Behavioral Health | 200 Webb Blvd, Havelock, NC 28532-1930 | 2013-10-01 |
| 1265869622 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 200 W 4th St, Greenville, NC 27858-1816 | 2013-10-01 |
| 1205262110 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 2020 Remount Rd, Ste E-109, Gastonia, NC 28054-7476 | 2013-09-24 |
| 1497181309 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3305 16th Ave Se, Conover, NC 28613-9213 | 2013-09-24 |
| 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 |
| Street Address |
3801 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847229 | Easter Seals Ucp Asap Inc | Clinic/Center | 3801 Lake Boone Trl, Suite 320, Raleigh, NC 27607-2934 | 2006-07-05 |
| 1669862157 | Megan P Denis | Counselor | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2015-02-04 |
| 1811387657 | Cathy Donohue | Social Worker | 3801 Lake Boone Trl, Suite #150, Raleigh, NC 27607-2934 | 2015-02-02 |
| 1720400120 | Mary Louise Herndon Porch | Counselor | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2014-01-20 |
| 1306275953 | Erin Terry | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-11-04 |
| 1609208875 | Kimberly Ann Smitley | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-07-30 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1992141931 | Catherine Maureen Pleil | Social Worker | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2013-05-16 |
| 1295171593 | Leah Johanna Graham | Counselor | 3801 Lake Boone Trl, Suite 200, Raleigh, NC 27607-2934 | 2013-05-14 |
| 1154666576 | Eric James Kelly | Social Worker | 3801 Lake Boone Trl, Suite 150, Raleigh, NC 27607-2934 | 2012-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1023647047 | Lets Cope Counseling Services Pllc | Counselor | 1631 Midtown Pl Ste 104-126, Raleigh, NC 27609-1300 | 2020-04-02 |
| 1841834785 | Vernetta J Davis | Counselor | 6604 Six Forks Rd Ste 101, Raleigh, NC 27615-6521 | 2019-11-04 |
| 1053955187 | Kelsie Ann Adkisson | Counselor | 5171 Glenwood Ave Ste 221, Raleigh, NC 27612-3266 | 2019-10-31 |
| 1841841012 | Galana Tennille Chookolingo | Counselor | 1123 Ileagnes Rd, Raleigh, NC 27603-2378 | 2019-09-27 |
| 1720639917 | Kelly Marie Nelson | Counselor | 205 Delway St Unit A, Raleigh, NC 27604-1131 | 2019-09-27 |
| 1720649890 | Maryann Kathryn Garcia | Counselor | 5805 Hampton Ridge Rd, Raleigh, NC 27603-9259 | 2019-06-27 |
| 1568929503 | Kelly Harrison Counseling Pllc | Counselor | 3200 Wake Forest Rd Ste 204, Raleigh, NC 27609-7451 | 2019-02-26 |
| 1639645278 | Donald G Wiggins | Counselor | 7516 Longstreet Dr, Raleigh, NC 27615-6131 | 2018-10-22 |
| Find all providers in RALEIGH | ||||
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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.