PORT HEALTH SERVICES
NPI 1477538254
Counselor in Greenville, NC

NPI Status: Active since December 14, 2005

Contact Information

2602 COURTIER DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-0483
Fax: (252) 757-3172

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  • Organization
  • Counselor

About PORT HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Port Health Services, a provider established in Greenville, North Carolina operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1477538254 assigned on December 2005. The practitioner's primary taxonomy code is 101Y00000X with license number MHL-074-157 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Port Human Services. The authorized official of this NPI record is Brett Beavers (Credentialing Manager)

NPI
1477538254
Provider Legal Name
PORT HEALTH SERVICES
Other Organization Name
PORT HUMAN SERVICES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2602 COURTIER DR GREENVILLE, NC 27834
Location Phone
(252) 752-0483
Location Fax
(252) 757-3172
Mailing Address
4300 SAPPHIRE CT STE 110 GREENVILLE, NC 27834
Mailing Phone
(252) 830-7540
Mailing Fax
(252) 757-3172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2005
Last Update Date
05-24-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
MHL-074-157
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
3291U00000XLaboratories

Clinical Medical Laboratory

 
43245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

MHL-074-145 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT BEAVERS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(919) 210-7661

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6005329MEDICAID (05)NC 
6005332MEDICAID (05)NC 
6005334MEDICAID (05)NC 
6005597MEDICAID (05)NC 
6603789MEDICAID (05)NC 
016X5OTHER (01)NCBCBS PROVIDER NUMBER
6005592MEDICAID (05)NC 
5900726MEDICAID (05)NC 
5900727MEDICAID (05)NC 
6603790MEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477538254, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 3 + 1 + 6 + 2 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1477538254.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor
2602 COURTIER DR
GREENVILLE, NC 27834
Community/Behavioral Health
2602 COURTIER DR
GREENVILLE, NC 27834
Community/Behavioral Health
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Professional)
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Nurse Practitioner (Psychiatric/Mental Health)
2602 COURTIER DR
GREENVILLE, NC 27834
Social Worker (Clinical)
2602 COURTIER DR
GREENVILLE, NC 27834
Rehabilitation Counselor
2602 COURTIER DR
GREENVILLE, NC 27834
Pharmacy (Long Term Care Pharmacy)
2602 COURTIER DR
GREENVILLE, NC 27834
Social Worker (Clinical)
2602 COURTIER DR
GREENVILLE, NC 27834
Counselor (Addiction (Substance Use Disorder))
2602 COURTIER DR
GREENVILLE, NC 27834
Pharmacy (Clinic Pharmacy)
2602 COURTIER DR
GREENVILLE, NC 27834
Registered Nurse
2602 COURTIER DR
GREENVILLE, NC 27834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477538254, enumerated as an "organization" on December 14, 2005.

The provider is located at 2602 COURTIER DR GREENVILLE, NC 27834 and the phone number is (252) 752-0483.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.