THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. (NPI# 1215105382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215105382 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. |
| Other Organization Name | PERSON GH |
| Practice Address |
219 N Foushee St Roxboro NC 27573-5314 |
| Mailing Address |
1331 Sunday Dr Raleigh NC 27607-5166 |
| Practice Telephone | 3365985988 |
| Mailing Telephone | 9199810740 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | MR. KEVIN COCHRAN (A/R MANAGER) |
| Authorized Official Telephone | 9198663287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-073-042 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804246 | 05 |
| Other Name | Type Code |
|---|---|
| Person GH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336388131 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 411 West Burkhead St, Whiteville, NC 28472-3103 | 2009-02-18 |
| 1295936417 | The Mental Health Association In North Carolina, Inc. | Community/Behavioral Health | 1331 Sunday Dr, Raleigh, NC 27607-5166 | 2007-05-29 |
| 1174743082 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 101 Hannah Ln, Rocky Mount, NC 27803-4268 | 2007-04-26 |
| 1730309154 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 303 N Church St, Lexington, NC 27292-4156 | 2007-04-26 |
| 1558581975 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 425 Pee Dee Ave, Albemarle, NC 28001-4910 | 2007-04-26 |
| 1083834402 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1615 Fikewood St E, Wilson, NC 27893-5586 | 2007-04-26 |
| 1467672881 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 213 Broad St Apt D, Mount Airy, NC 27030-4688 | 2007-04-26 |
| 1023238706 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 206 Lenoir St Ste O, Morganton, NC 28655-3124 | 2007-04-26 |
| 1053531806 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 317 Franklin Ave Nw, Concord, NC 28025-4909 | 2007-04-26 |
| 1649490061 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 46 Pinewood Rd Apt B, Roanoke Rapids, NC 27870-6305 | 2007-04-26 |
| Street Address |
219 N FOUSHEE ST |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891040333 | New Destinations, Inc. | Custodial Care Facility | 219 N Foushee St, Roxboro, NC 27573-5314 | 2012-07-20 |
| 1831328491 | New Destinations, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2009-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598832 | Therapeutic Health Services | Community Based Residential Treatment Facility, Mental Illness | 1148 Allensville Rd, Roxboro, NC 27574-7057 | 2017-10-03 |
| 1184760084 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-29 |
| 1831328491 | New Destinations, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2009-07-03 |
| 1336285774 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1245376680 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1386780724 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1013053446 | Person County Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1922144351 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1831235266 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| 1710023155 | Person County Group Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 202 N. Main Street, Roxboro, NC 27573-0721 | 2007-01-30 |
| Find all providers in ROXBORO | ||||
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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.