Organization Active NPI

Securehands Behavioral Health Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1003109133
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8341 Issued in NC
Legal business name
SECUREHANDS BEHAVIORAL HEALTH SERVICES, PLLC
Practice address
2827 Arlington Ave
Fayetteville, NC 28303-5403
Phone
(910) 987-9430
Fax
(910) 868-6181
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah L James, PHD, LPC, BC-TMH NCCNPI 1831289859
Title
Ceo
Phone
(910) 308-2286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 8341 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8341 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8341 NC
Case Management Agency 251B00000X 8341 NC
Community/Behavioral Health Agency 251S00000X 8341 NC Primary

Addresses

Primary practice location

2827 Arlington Ave
Fayetteville, NC 28303-5403

Mailing address

PO Box 25234
Fayetteville, NC 28314-5003
Phone (910) 308-2286

Other identifiers 2

IdentifierTypeStateIssuer
6104670MedicaidNC
6008487MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1003109133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25234",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145003",
            "telephone_number": "910-308-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 ARLINGTON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035403",
            "telephone_number": "910-987-9430",
            "fax_number": "910-868-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECUREHANDS BEHAVIORAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-308-2286",
        "authorized_official_credential": "PHD, LPC, BC-TMH NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "8341",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8341",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8341",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8341",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104670",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.