JACKSON COUNTY PSYCHOLOGICAL SERVICES PA NPI 1396802914

NPI Information

NPI: 1396802914
Provider Name: JACKSON COUNTY PSYCHOLOGICAL SERVICES PA

Doing Business As: HAYWOOD COUNTY PSYCHOLOGICAL SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
98D COPE CREEK RD
SYLVA, NC
ZIP 28779
Phone: (828) 586-2311
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JACKSON COUNTY PSYCHOLOGICAL SERVICES PA is a professional counselor in Sylva, NC. JACKSON COUNTY PSYCHOLOGICAL SERVICES PA NPI is 1396802914. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Haywood County Psychological Services.

The provider's business location address is:

98D COPE CREEK RD
SYLVA, NC
ZIP 28779-508
Phone: (828) 586-2311
Fax: (828) 586-5450

The provider's authorized official is Debbie Douthit .
The authorized official title is Billing Supervisor and has the following contact phone number (828) 586-2311.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	251S00000X	Community/Behavioral Health		No
3	101Y00000X	Counselor		No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	No
5	104100000X	Social Worker		No
6	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8302150	MEDICAID	NORTH CAROLINA
2	8300532	MEDICAID	NORTH CAROLINA
3	6005078	MEDICAID	NORTH CAROLINA
4	017UF	OTHER	NORTH CAROLINA	BCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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