COMMUNITY INNOVATIONS, INC. (NPI# 1760552467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760552467 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS, INC. |
| Practice Address |
118 E Walter St Whiteville NC 28472-4142 |
| Mailing Address |
2003 Godwin Ave Suite A Lumberton NC 28358-3197 |
| Practice Telephone | 9106402724 |
| Practice Fax Number | 9106403474 |
| Mailing Telephone | 9107398849 |
| Mailing Fax Number | 9107398698 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDY ANDERSON (CEO PRESIDENT) |
| Authorized Official Telephone | 9107398849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers | |
| X | 101YP2500X |
Counselor Specialization: Professional |
NC | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
NC | Behavioral Health & Social Service Providers | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians | |
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1275740821 | Community Innovations, Inc. | Community/Behavioral Health | 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 | 2007-05-16 |
| 1255548863 | Community Innovations, Inc. | Community/Behavioral Health | 1503 S Glen Burnie Rd, New Bern, NC 28562-1503 | 2007-05-16 |
| 1780756056 | Community Innovations, Inc. | Case Management | 1503 S Glen Burnie Road, New Bern, NC 28562-1503 | 2006-11-14 |
| 1740350446 | Community Innovations, Inc. | Case Manager/Care Coordinator | 1104 W. Broad St, Elizabethtown, NC 28337 | 2006-11-09 |
| 1679643373 | Community Innovations, Inc. | Counselor | 1781 South Main Street, Laurinburg, NC 28352 | 2006-11-09 |
| 1275614893 | Community Innovations, Inc. | Case Management | 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 | 2006-10-18 |
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1972692960 | Community Innovations, Inc. | Case Management | 704 Progress Pl, Ste B, Laurinburg, NC 28352-5545 | 2006-10-11 |
| 1265708549 | Community Innovations, Inc. | Counselor | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
118 E WALTER ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1003017179 | Community Innovations | Psychiatry & Neurology | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1184825259 | Community Innovations | Community/Behavioral Health | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1700093184 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185378 | Shenicka Mccollum | Counselor | 156 Mosley Moore Dr, Whiteville, NC 28472-8647 | 2012-09-05 |
| 1659471928 | Kimberly L. Steed | Counselor | 805 N Franklin St, Suite 8, Whiteville, NC 28472-2703 | 2006-09-25 |
| 1629686381 | Courtney Briann Blackledge | Counselor | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2020-07-20 |
| 1275991150 | Lenzy O'dell Graham | Counselor | 603 S Madison St, Whiteville, NC 28472-4129 | 2016-02-05 |
| 1124496963 | Pinnacle Family Services of North Carolina LLC | Counselor | 800 Jefferson St, Suite 114, Whiteville, NC 28472-3710 | 2015-09-10 |
| 1285046565 | Kayla Bowen | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2014-05-21 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1801146725 | Anajinette Owens | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-09-18 |
| 1336498468 | Erin Bosley Warlick | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2012-09-05 |
| 1245589795 | Carenet, Inc. | Counselor | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2012-08-30 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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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.