PORT HEALTH SERVICES (NPI# 1518195072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518195072 |
| Entity Type | Organization |
| Organization Name | PORT HEALTH SERVICES |
| Other Organization Name | PORT HUMAN SERVICES |
| Practice Address |
102 Medical Dr Ste A&b Elizabeth City NC 27909-3361 |
| Mailing Address |
4300-110 Sapphire Court Greenville NC 27834 |
| Practice Telephone | 2523350803 |
| Mailing Telephone | (252) 830-7540 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | SHARON WARD ROUNTREE (REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2528307540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006852 | 05 |
| Other Name | Type Code |
|---|---|
| PORT Human Services | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1141 N. Road Street, Suite L, Elizabeth City, NC 279094425 | 2523350803 | 2523311796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1417356411 | Port Health Services | Counselor | 50347 Nc Hwy 12, Frisco, NC 27936 | 2014-08-15 |
| 1730505470 | Port Health Services | Community/Behavioral Health | 2206 Wrightsville Ave # A, Wilmington, NC 28403-2406 | 2014-03-05 |
| 1417293663 | Port Health Services | Counselor | 144b Community College Rd, Ahoskie, NC 27910-8047 | 2012-12-17 |
| 1245500909 | Port Health Services | Community/Behavioral Health | 2808 Croatan Hwy Suite B, Nags Head, NC 27959-9024 | 2012-01-11 |
| 1326331216 | Port Health Services | Community/Behavioral Health | 314 Progress Drive Extension, Burgaw, NC 28425-2813 | 2011-05-25 |
| 1902101496 | Port Health Services | Community/Behavioral Health | 1507 Martin Street, Wilmington, NC 28401-6422 | 2011-01-14 |
| 1497075618 | Port Health Services | Counselor | 4300-110 Sapphire Court, Greenville, NC 27834-9019 | 2010-06-10 |
| 1881822344 | Port Health Services | Counselor | 101 Arpdc St, Hertford, NC 27944-7901 | 2009-06-23 |
| 1396897161 | Port Health Services | Substance Abuse Rehabilitation Facility | 114 Health Drive, Greenville, NC 27834-7826 | 2007-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORT HEALTH SERVICES | 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 |
| Street Address |
102 MEDICAL DR STE A&B |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945028 | Pathways Human Services of North Carolina, LLC | Counselor | 905 Halstead Blvd Ste 14, Elizabeth City, NC 27909-6815 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on PORT HEALTH SERVICES.
| 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.