PORT HEALTH SERVICES
NPI 1477538254
Counselor in Greenville, NC

Q: What is Port Health Services's NPI number?

The NPI number for Port Health Services is 1477538254. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider was formerly known as Port Human Services.

Q: What is Port Health Services's specialty?

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

Active since December 14, 2005

2602 COURTIER DR, GREENVILLE, NC 27834(252) 752-0483(252) 757-3172 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Feb 9, 2017 (2 updates tracked since 2017).

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About Port Health Services NPPES

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

PORT HEALTH SERVICES (NPI 1477538254), doing business as Port Human Services, is a healthcare organization registered as a counselor in Greenville, North Carolina and active in the NPI registry since December 2005. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477538254

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NamePORT HEALTH SERVICES

Location Address2602 COURTIER DRGreenville, NC 27834-7818

Mailing Address4300 Sapphire Ct Ste 110Greenville, NC 27834-9079 · (252) 830-7540 · Fax (252) 413-0932

Phone(252) 752-0483

Fax(252) 757-3172

Organization SubpartNo

Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661

Enumeration DateDecember 14, 2005

Last NPPES UpdateMay 24, 20232 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1477538254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NC · MHL-074-157

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License MHL-074-145 (NC)

2602 COURTIER DR, Greenville, NC 27834

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Other Names 1

Former Legal Business NamePort Human Services

Other Identifiers 10

Medicaid6005329NC

Medicaid6005332NC

Medicaid6005334NC

Medicaid6005597NC

Medicaid6603789NC

Other016X5NC · Bcbs Provider Number

Medicaid6005592NC

Medicaid5900726NC

Medicaid5900727NC

Medicaid6603790NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA RENEE CONNER MS, LPC, LCAS

Counselor (Addiction (Substance Use Disorder))