OrganizationActive
Omni Behavioral Services
NPI 1083257562 · Addiction (Substance Use Disorder) Counselor · Elizabethtown, NC
Provider details
- NPI number
- 1083257562
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Jackson, Senior Administrator(910) 247-6822
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
209 Martin Luther King Jr. Dr.
Elizabethtown, NC 28337-2833
Phone: (910) 247-6822
Fax: (910) 247-6829
Street-level locationGet directions
Mailing address
209 Martin Luther King Jr. Dr.
Elizabethtown, NC 28352
Other names (DBA / former)
- Doing business as
- Omni Behavioral Services
Registry dates
- Enumerated
- 2019-10-28
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.