Port Health Services
NPI 1477538254ActiveOrganization· Counselor· Greenville, NC
Counselor in Greenville, North Carolina, registered in NPPES in December 2005. The authorized official on file is Brett Beavers, Credentialing Manager.
Overview
| NPI | 1477538254 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2005 |
| Last updated in NPPES | May 24, 2023 |
| Certified by provider | May 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | MHL-074-157 | NC |
| Community/Behavioral Health | 251S00000X | — | — |
| Clinic/Center, Community Health | 261QC1500X | — | — |
| Clinical Medical Laboratory | 291U00000X | — | — |
| Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 3245S0500X | MHL-074-145 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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