Organization Active NPI

Global Mental Health and Substance Abuse Agency

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1003285164
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCAS-21691 Issued in NC
Legal business name
GLOBAL MENTAL HEALTH AND SUBSTANCE ABUSE AGENCY
Practice address
65 TW Alexander Drive
Durham, NC 27709
Phone
(919) 530-0555
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Andrea Couch, MS, LCAS-A
Title
Owner
Phone
(919) 530-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCAS-21691 NC Primary

Addresses

Primary practice location

65 TW Alexander Drive
Durham, NC 27709

Mailing address

PO Box 12487
Durham, NC 27709-2487
Phone (919) 530-0555

Other identifiers 1

IdentifierTypeStateIssuer
1164817706OtherNCNPI

National Provider Directory

National Provider Directory
Tax ID family
Global Mental Health and Substance Abuse Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1003285164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12487",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277092487",
            "telephone_number": "919-530-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TW ALEXANDER DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27709",
            "telephone_number": "919-530-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MENTAL HEALTH AND SUBSTANCE ABUSE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-530-0555",
        "authorized_official_credential": "MS, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "LCAS-21691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164817706",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.