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PRIDE IN NORTH CAROLINA, LLC
NPI 1821136581
Community/Behavioral Health in Jacksonville, NC

Active since February 02, 2007
110-B BRANCHWOOD DRIVE, JACKSONVILLE, NC 28546(910) 938-9833(910) 938-9835 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pride In North Carolina, Llc NPPES

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

PRIDE IN NORTH CAROLINA, LLC (NPI 1821136581), doing business as Pride In North Carolina, Inc, is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since February 2007. The organization lists Jason Rutski, Director Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1821136581
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRIDE IN NORTH CAROLINA, LLC
Location Address110-B BRANCHWOOD DRIVEJacksonville, NC 28546-5900
Mailing Address231 Commerce StGreenville, NC 27858-5029 · (252) 321-8080 · Fax (252) 321-7999
Phone(910) 938-9833
Fax(910) 938-9835
Organization SubpartNo
Authorized OfficialJason RutskiDirector Of Business Operations · (910) 452-1460
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 4, 2017
✔ NPI 1821136581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
110-B BRANCHWOOD DRIVE, Jacksonville, NC 28546
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Other Names 1

Former Legal Business NamePride In North Carolina, Inc

Other Identifiers 3

Medicaid8300338NC
Medicaid8300338GNC
Medicaid8300338BNC

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)

Pride In North Carolina, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Pride In North Carolina, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker23
Mental Health Counselor17
Nurse Practitioner4
Marriage and Family Therapist2
Psychiatry1

Nearest to this location (20)

See all 47
Andrea Cooper, MS, LCMHC
Mental Health Counselor
NPI 1144092073
3886 HENDERSON DR
Jacksonville, NC 28546
(910) 938-9833
✔ PECOS1.0 mi
Amanda Davis
Mental Health Counselor
NPI 1316528326
3886 HENDERSON DR
Jacksonville, NC 28546
(910) 938-9833
✔ PECOS✔ Accepts Medicare1.0 mi
Leah Ramey, M.ED, MSW, LCSW
Clinical Social Worker
NPI 1427766005
3886 HENDERSON DR
Jacksonville, NC 28546
(910) 938-9833
✔ PECOS✔ Accepts Medicare1.0 mi
Kerry Sharkey, LCSW
Clinical Social Worker
NPI 1891435244
3886 HENDERSON DR
Jacksonville, NC 28546
(910) 938-9833
✔ PECOS1.0 mi
Cheryl Wheeler, LCMHC
Mental Health Counselor
NPI 1962934430
3886 HENDERSON DR
Jacksonville, NC 28546
(910) 938-9833
✔ PECOS1.0 mi
Lydia Kerns, LCSW, LCAS-A
Clinical Social Worker
NPI 1972269561
2440 COMMERCE RD STE 225
Jacksonville, NC 28546
(910) 518-8777
✔ PECOS1.5 mi
Bianca Haywood, MSW, LCSW
Clinical Social Worker
NPI 1174240428
2902 N HERRITAGE ST STE A
Kinston, NC 28501
(252) 686-5020
✔ PECOS✔ Accepts Medicare37 mi
Mia Lanier-Williams, LMFT
Marriage and Family Therapist
NPI 1669749420
2902 N HERRITAGE ST STE A
Kinston, NC 28501
(252) 686-5020
✔ PECOS✔ Accepts Medicare37 mi
Nicole Maye, LCMHCA
Mental Health Counselor
NPI 1851076061
2902 N HERRITAGE ST STE A
Kinston, NC 28501
(252) 686-5020
✔ PECOS✔ Accepts Medicare37 mi
Robert Adams, MD
Psychiatry
NPI 1275693517
710 MILITARY CUTOFF RD SUITE 120
Wilmington, NC 28405
(910) 254-4818
✔ PECOS✔ Accepts Medicare44 mi
Ralph Green
Mental Health Counselor
NPI 1275253528
5710 OLEANDER DR STE 112
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare47 mi
Shuvechaya Siwakoti, PMHNP
Nurse Practitioner
NPI 1619777489
5710 OLEANDER DR STE 112
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare47 mi
Stephanie Holderman, PMHNP-BC
Nurse Practitioner
NPI 1083215917
5710 OLEANDER DR STE 112
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare47 mi
Dominick Roe
Clinical Social Worker
NPI 1063175297
5710 OLEANDER DR STE 112
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare47 mi
Joanna Gendreau, LCSW
Clinical Social Worker
NPI 1699489146
4106 SHIPYARD BLVD
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare49 mi
Cindy Martinez, MSW, LCSW
Clinical Social Worker
NPI 1053888628
4106 SHIPYARD BLVD
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare49 mi
Jocelyn Mcsweeney
Mental Health Counselor
NPI 1881474823
4106 SHIPYARD BLVD
Wilmington, NC 28403
(910) 769-1785
✔ PECOS✔ Accepts Medicare49 mi
Keishia Hucks, MS, LCMHC, LCASA
Mental Health Counselor
NPI 1396236154
208 MALLOY ST STE B
Goldsboro, NC 27534
(984) 520-6080
✔ PECOS✔ Accepts Medicare51 mi
Smeeta Bhatta, PMHNP
Nurse Practitioner
NPI 1578321543
231 COMMERCE ST
Greenville, NC 27858
(252) 321-8080
✔ PECOS✔ Accepts Medicare56 mi
Rebecca Humphries, LMFT
Marriage and Family Therapist
NPI 1215685078
2416 BEDGOOD DR SW
Wilson, NC 27893
(252) 265-9200
✔ PECOS✔ Accepts Medicare71 mi
See all 47 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 Pride In North Carolina, LLC's NPI number?

The NPI number for Pride In North Carolina, LLC is 1821136581. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider was formerly known as Pride In North Carolina, Inc.

Where is Pride In North Carolina, LLC located?

Pride In North Carolina, LLC is located at 110-B Branchwood Drive, Jacksonville, NC 28546. The listed phone number is (910) 938-9833.

What is Pride In North Carolina, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Pride In North Carolina, LLC enrolled in Medicare?

Yes. Pride In North Carolina, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pride In North Carolina, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 5 Medicare specialties reassign their Medicare billing to Pride In North Carolina, LLC. 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 (23), Mental Health Counselor (17) and Nurse Practitioner (4). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pride In North Carolina, LLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.