Organization Active NPI

CBWC Concierge Services PLLC

  • Psychologist
  • Sanford, NC
National Provider Identifier
1033086186
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CBWC CONCIERGE SERVICES PLLC
Practice address
217 S Steele St Ste C
Sanford, NC 27330-4371
Phone
(919) 352-9044
Fax
(919) 587-8944
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Jennifer Richards, MDNPI 1205129558
Title
Owner
Phone
(919) 205-8325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

217 S Steele St Ste C
Sanford, NC 27330-4371

Mailing address

217 S Steele St Ste C
Sanford, NC 27330-4371
Phone (919) 352-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216002168 NC Part B Supplier - Clinic/Group Practice 4385124726 Receives reassigned benefits from 1 practitioner
Practice locations: Sanford, NC

National Provider Directory

National Provider Directory

Locations

217 S Steele St
Ste C
Sanford, NC 27330
Phone (919) 205-8325

Practitioners & affiliated clinicians

Practitioners 2

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1033086186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S STEELE ST STE C",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304371",
            "telephone_number": "919-352-9044",
            "fax_number": "919-587-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S STEELE ST STE C",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304371",
            "telephone_number": "919-352-9044",
            "fax_number": "919-587-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBWC CONCIERGE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-205-8325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.