DIXON SOCIAL INTERACTIVE SERVICES, INC. (NPI# 1841411071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841411071 |
| Entity Type | Organization |
| Organization Name | DIXON SOCIAL INTERACTIVE SERVICES, INC. |
| Practice Address |
313 Clifton St. Greenville NC 27858-8504 |
| Mailing Address |
Po Box 30166 Greenville NC 27833-0166 |
| Practice Telephone | 2523530100 |
| Practice Fax Number | 2523648117 |
| Mailing Telephone | 2523530100 |
| Mailing Fax Number | 2523648117 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | MRS. DERRIA DIXON (CFO) |
| Authorized Official Telephone | 2522588946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
200100499 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
200100499 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
200100499 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740582212 | Dixon Social Interactive Services, Inc. | Community/Behavioral Health | 1202-b Vernon Avenue, Kinston, NC 28501 | 2010-12-03 |
| 1770715294 | Dixon Social Interactive Services, Inc. | Community/Behavioral Health | 1202 W Vernon Ave, Kinston, NC 28501-3526 | 2009-08-17 |
| 1316200991 | Dixon Social Interactive Services, Inc. | Community/Behavioral Health | 313 Clifton St, Greenville, NC 27858-5008 | 2012-06-19 |
| Street Address |
313 CLIFTON ST. |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.