CAROLINA OUTREACH, LLC (NPI# 1902239130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902239130 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
608 Nash St Ne Wilson NC 27893-3045 |
| Practice Telephone | 2522912200 |
| Mailing Telephone | 2522912200 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | MR. TIMOTHY H. BROOKS (DIRECTOR) |
| Authorized Official Telephone | 9192519001 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3410049 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| 1285054692 | Carolina Outreach, LLC | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577 | 2014-04-24 |
| Street Address |
608 NASH ST NE |
| City | WILSON |
| State | NC |
| Zip Code | 27893-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573906 | Rochelle Elizabeth Walton | Counselor | 608 Nash St Ne, Wilson, NC 27893-3045 | 2020-09-21 |
| 1548881287 | Alyssa Hajjar | Counselor | 608 Nash St Ne, Wilson, NC 27893-3045 | 2020-05-05 |
| 1639790876 | Amity Storm Hines | Social Worker | 608 Nash St Ne, Wilson, NC 27893-3045 | 2020-04-28 |
| 1679126759 | Carmen Aguilar | Social Worker | 608 Nash St Ne, Wilson, NC 27893 | 2019-07-18 |
| 1922669811 | Mary Byrd Ewell Pettenati | Social Worker | 608 Nash St Ne, Wilson, NC 27893-3045 | 2019-06-22 |
| 1871156943 | Heather M Christman | Counselor | 608 Nash St Ne, Wilson, NC 27893-3045 | 2019-04-15 |
| 1306305370 | Sara Jane Beard-linton | Social Worker | 608 Nash St Ne, Wilson, NC 27893-3045 | 2019-03-18 |
| 1871069781 | Emoni' Jameece Battle | Social Worker | 608 Nash St Ne, Wilson, NC 27893-3045 | 2018-10-18 |
| 1780178582 | Michael Peacock | Counselor | 608 Nash St Ne, Wilson, NC 27893-3045 | 2018-06-15 |
| 1043702871 | Cara Orduno | Social Worker | 608 Nash St Ne, Wilson, NC 27893-3045 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| 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 |
|---|---|---|---|---|
| 1982230454 | W.e. K.e.r.r. | Community/Behavioral Health | 2403 Wooten Blvd Sw Ste H, Wilson, NC 27893-4463 | 2020-03-17 |
| 1649823238 | Focused Interventions, LLC | Community/Behavioral Health | 1310 Ward Blvd, Wilson, NC 27893-4665 | 2019-07-22 |
| 1275993925 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 405 Nash St W, Ste 200, Wilson, NC 27893-3761 | 2016-02-23 |
| 1184007213 | Jincy S Golden | Community/Behavioral Health | 622 Sandy Stone Rd, Wilson, OK 73463-6717 | 2015-07-07 |
| 1497141550 | Rha Health Services, Inc | Community/Behavioral Health | 405 Nash St W Ste 200, Wilson, NC 27893-3761 | 2015-04-15 |
| 1841534070 | Higher Heights Home Care | Community/Behavioral Health | 2404 Montgomery Dr Sw Ste C, Wilson, NC 27893-4462 | 2012-11-09 |
| 1477807022 | Summitcare Health Services, LLC | Community/Behavioral Health | 1800 Rand Rd W, Wilson, NC 27893-3447 | 2012-11-05 |
| 1396096566 | Holistic Harvest: An Integrative Counseling Center | Community/Behavioral Health | 703 Nash St W Ste D, Wilson, NC 27893-3058 | 2012-09-27 |
| 1801105408 | Bridges of Hope Inc | Community/Behavioral Health | 703 Nash St W, A, Wilson, NC 27893-3058 | 2010-09-29 |
| 1073822912 | Oliver Enterprise | Community/Behavioral Health | 806 South Tarboro Street, Ste B1, Wilson, NC 27893 | 2010-09-27 |
| Find all providers in WILSON | ||||
Please comment or provide details below to improve the information on CAROLINA OUTREACH, LLC.
| 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.