Active NPI
Securehands Behavioral Health Services, PLLC
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1003109133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 8341
- 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
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 NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8341 | NC | |
| Mental Health Counselor | 101YM0800X | 8341 | NC | |
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104670 | Medicaid | NC | |
| 6008487 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1831289859
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.