JOHNSTON COUNTY MENTAL HEALTH CTR (NPI# 1770780561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770780561 |
| Entity Type | Organization |
| Organization Name | JOHNSTON COUNTY MENTAL HEALTH CTR |
| Practice Address |
521 N Brightleaf Blvd Smithfield NC 27577-4407 |
| Mailing Address |
Po Box 411 Smithfield NC 27577-0411 |
| Practice Telephone | 9199895500 |
| Practice Fax Number | 9199895532 |
| Mailing Telephone | 9199895500 |
| Mailing Fax Number | 9199895532 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | DR. JANIS J NUTT (AREA DIRECTOR) |
| Authorized Official Telephone | 9199895500 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSNC | 07116 | 01 | |
| NC | 5901802 | 05 | |
| NC | 6005572 | 05 | |
| NC | 8301360 | 05 | |
| NC | 8301360B | 05 | |
| NC | 3404930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733792 | Johnston County Mental Health Ctr | Case Manager/Care Coordinator | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-07-23 |
| 1316144108 | Johnston County Mental Health Ctr | Community/Behavioral Health | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-06-27 |
| 1447355888 | Johnston County Mental Health Ctr | Community/Behavioral Health | 521 N Brightleaf Blvd, Johnston County Medical Health Center, Smithfield, NC 27577-4407 | 2006-09-13 |
| Street Address |
521 N BRIGHTLEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206756 | Katharina Dewald | Nurse Practitioner | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-06-23 |
| 1508424318 | Rhonda Byrd | Social Worker | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-06-05 |
| 1568977486 | Alfredo Rivera Jr. | Counselor | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-12-14 |
| 1710241534 | Johnston County Health Department | Counselor | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2012-06-26 |
| 1841564028 | Adolpha Bassett | Social Worker | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2012-03-06 |
| 1013249937 | Elaine Margaret Howell | Counselor | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2010-02-02 |
| 1629242219 | Samuel Wade Everette | Social Worker | 521 N Brightleaf Blvd, Johnston County Mental Health Center, Smithfield, NC 27577-4407 | 2008-04-15 |
| 1679755706 | Allison Winstead Ayers | Registered Nurse | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-11-30 |
| 1275733792 | Johnston County Mental Health Ctr | Case Manager/Care Coordinator | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-07-23 |
| 1316144108 | Johnston County Mental Health Ctr | Community/Behavioral Health | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406986 | Linds 5, Inc. | Community/Behavioral Health | 152 Harris Rd, Smithfield, RI 02917-1931 | 2020-10-28 |
| 1750774477 | Community Empowerment LLC | Community/Behavioral Health | 17155 Riddick Rd, Smithfield, VA 23430-6413 | 2015-03-05 |
| 1467885921 | Q1 Clinical Consultants,llc | Community/Behavioral Health | 120 Jethro Cir, Smithfield, NC 27577-6941 | 2013-08-19 |
| 1740537489 | Divine Destiny Adult Care Inc. | Community/Behavioral Health | 612 Powell St, Smithfield, NC 27577-3118 | 2012-08-13 |
| 1407128648 | Bridgebuilders Family and Youth Services, Inc | Community/Behavioral Health | 610 Powell St, Smithfield, NC 27577-3118 | 2012-02-03 |
| 1669763421 | Nova-ic, Inc | Community/Behavioral Health | 1329d N Brightleaf Blvd, Smithfield, NC 27577-7259 | 2011-04-28 |
| 1790096030 | Cornerstone Community Support Services, Inc. | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2010-07-01 |
| 1336465897 | Rising Phoenix Professional Services, LLC | Community/Behavioral Health | 101-1 N. 4th Street, Smithfield, NC 27577-3941 | 2010-04-08 |
| 1952637977 | Aspirations and Miralces Community Support Services | Community/Behavioral Health | 723 S 3rd St, Suite A, Smithfield, NC 27577-4399 | 2009-10-27 |
| 1336474790 | New Creation Services for Children / Adults, Inc. | Community/Behavioral Health | 210 Brigge St., Suite 113, Smithfield, NC 27577-0000 | 2009-10-02 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on JOHNSTON COUNTY MENTAL HEALTH CTR.
| 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.