PORT HEALTH SERVICES NPI 1659420487

NPI Information

  • NPI: 1659420487
  • Provider Name: PORT HEALTH SERVICES
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Former Legal Business Name: PORT HUMAN SERVICES
  • Address: 1309 TATUM DR
    NEW BERN, NC
    ZIP 28560
  • Phone: (252) 672-8742

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NPI Details

PORT HEALTH SERVICES is a counselor in New Bern, NC. The provider is 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. PORT HEALTH SERVICES NPI is 1659420487. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Port Human Services.

The provider's business location address is:

1309 TATUM DR
NEW BERN, NC
ZIP 28560-314
Phone: (252) 672-8742
Fax: (252) 638-3742

The provider's authorized official is Brett Beavers .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 210-7661.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 1/10/2007 and was last updated on 5/24/2023.

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 License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2101Y00000XCounselorMHL-025-204NORTH CAROLINAYes

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
15903642MEDICAIDNORTH CAROLINA
26005885MEDICAIDNORTH CAROLINA

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: 3/30/2025

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