PORT HEALTH SERVICES
NPI 1417356411
Counselor in Hatteras, NC

Active since August 15, 2014
57635 NC HIGHWAY 12, HATTERAS, NC 27953(252) 255-7001(252) 986-0349 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 1, 2023, Feb 10, 2017 (2 updates tracked since 2017).

About Port Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT HEALTH SERVICES (NPI 1417356411), doing business as Port Human Services, is a healthcare organization registered as a counselor in Hatteras, North Carolina and active in the NPI registry since August 2014. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417356411
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePORT HEALTH SERVICES
Location Address57635 NC HIGHWAY 12Hatteras, NC 27953
Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932
Fax(252) 986-0349
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateAugust 15, 2014
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1417356411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
57635 NC HIGHWAY 12, Hatteras, NC 27953

Other Names 1

Former Legal Business NamePort Human Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to Port Health Services, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker19
Nurse Practitioner8
Mental Health Counselor7
Psychiatry3

Nearest to this location (20)

See all 37
Clinical Social Worker
NPI 1962954297
2808 S CROATAN HWY SUITE 565
Nags Head, NC 27959
(252) 441-2324
✔ PECOS52 mi
Clinical Social Worker
NPI 1386367571
2808 S CROATAN HWY STE B
Nags Head, NC 27959
(252) 441-2324
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1962131003
101 AIRSTRIP RD # 252
Kill Devil Hills, NC 27948
(402) 484-1132
✔ PECOS✔ Accepts Medicare54 mi
Clinical Social Worker
NPI 1487992483
3715 GUARDIAN AVE
Morehead City, NC 28557
(252) 222-3144
✔ PECOS✔ Accepts Medicare69 mi
Mental Health Counselor
NPI 1942667266
3715 GUARDIAN AVE
Morehead City, NC 28557
(252) 222-3144
✔ PECOS✔ Accepts Medicare69 mi
Clinical Social Worker
NPI 1306391867
310 BASIL DR
Newport, NC 28570
(252) 269-6779
✔ PECOS73 mi
Mental Health Counselor
NPI 1235676743
280 SALTER PATH RD
Pine Knoll Shores, NC 28512
(252) 240-0019
✔ PECOS✔ Accepts Medicare74 mi
Mental Health Counselor
NPI 1770988552
1309 TATUM DR
New Bern, NC 28560
(252) 672-8742
✔ PECOS78 mi
Clinical Social Worker
NPI 1538728217
102B MEDICAL DR
Elizabeth City, NC 27909
(522) 335-0803
✔ PECOS✔ Accepts Medicare82 mi
Clinical Social Worker
NPI 1194150060
1141 N ROAD ST STE L
Elizabeth City, NC 27909
(252) 335-0803
✔ PECOS✔ Accepts Medicare82 mi
Psychiatry
NPI 1710169990
154 BEACON DRIVE SUITE I
Winterville, NC 28590
(252) 353-1114
✔ PECOS✔ Accepts Medicare99 mi
Nurse Practitioner
NPI 1245473016
2245 STANTONSBURG RD STE O
Greenville, NC 27834
(252) 752-0483
✔ PECOS✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1679032387
2602 COURTIER DR
Greenville, NC 27834
(252) 752-0483
✔ PECOS✔ Accepts Medicare101 mi
Nurse Practitioner
NPI 1861554701
2602 COURTIER DR
Greenville, NC 27834
(252) 752-0483
✔ PECOS✔ Accepts Medicare101 mi
Mental Health Counselor
NPI 1154497220
2602 COURTIER DR
Greenville, NC 27834
(252) 752-0483
✔ PECOS101 mi
Clinical Social Worker
NPI 1346527314
501 PALADIN DR
Greenville, NC 27834
(252) 353-5346
✔ PECOS101 mi
Clinical Social Worker
NPI 1407884042
231 MEMORIAL DR
Jacksonville, NC 28546
(910) 353-5354
✔ PECOS✔ Accepts Medicare101 mi
Psychiatry
NPI 1831129220
107 S QUEEN ST
Kinston, NC 28501
(252) 522-9800
✔ PECOS✔ Accepts Medicare107 mi
Mental Health Counselor
NPI 1427332964
2206 WRIGHTSVILLE AVE
Wilmington, NC 28403
(910) 251-5326
✔ PECOS✔ Accepts Medicare144 mi
Psychiatry
NPI 1043824998
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Fort Bragg, NC 28310
(910) 907-8922
✔ PECOS189 mi
See all 37 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Health Services's NPI number?

The NPI number for Port Health Services is 1417356411. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider was formerly known as Port Human Services.

Where is Port Health Services located?

Port Health Services is located at 57635 Nc Highway 12, Hatteras, NC 27953. The listed phone number is (252) 255-7001.

What is Port Health Services's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Port Health Services enrolled in Medicare?

Yes. Port Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 4 Medicare specialties reassign their Medicare billing to Port Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (19), Nurse Practitioner (8) and Mental Health Counselor (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Port Health Services was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.