NPIMap

Organization Active NPI

Barium Springs Freedom Academy

  • Community/Behavioral Health Agency
  • North Wilkesboro, NC
National Provider Identifier
1043531445
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL 097 063 Issued in NC
Legal business name
BARIUM SPRINGS FREEDOM ACADEMY
Practice address
2776 Yellow Banks Rd
North Wilkesboro, NC 28659-8861
Phone
(336) 667-1121
Fax
(336) 696-4183
NPI assigned
Jun 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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

Authorized official

Name
Ms. Celeste I Reed, MA CHC
Title
Vice President
Phone
(704) 880-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL 097 063 NC Primary

Addresses

Primary practice location

2776 Yellow Banks Rd
North Wilkesboro, NC 28659-8861

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 873-1011

Other identifiers 1

IdentifierTypeStateIssuer
MHL 097 063OtherNCDHSR LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Barium Springs Home for Children58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

2776 Yellow Banks Rd
North Wilkesboro, NC 28659
Phone (336) 667-1121

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276992000000",
    "number": "1043531445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-873-1011",
            "fax_number": "704-924-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 YELLOW BANKS RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598861",
            "telephone_number": "336-667-1121",
            "fax_number": "336-696-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SPRINGS FREEDOM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-06-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-880-2316",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 097 063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSR LICENSE",
            "identifier": "MHL 097 063",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2010; 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.