Organization Active NPI

The Conversation Location PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1053194498
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE CONVERSATION LOCATION PLLC
Practice address
1903 Bragg Blvd
Fayetteville, NC 28303-4563
Phone
(910) 874-8521
NPI assigned
Aug 18, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Bianca Ramos del RioNPI 1164145439
Title
Ceo
Phone
(133) 447-0948

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1903 Bragg Blvd
Fayetteville, NC 28303-4563

Mailing address

200 Corolla CT
Stedman, NC 28391-1500
Phone (910) 874-8521

Other practice location 1

200 Corolla Ct
Stedman, NC 28391-1500
Phone (910) 874-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240206002295 NC Part B Supplier - Clinic/Group Practice 3678916707 Receives reassigned benefits from 1 practitioner
Practice locations: Stedman, NC
O20250123003432 TX Part B Supplier - Clinic/Group Practice 3678916707 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1903 Bragg Blvd
Fayetteville, NC 28303
Phone (910) 853-0009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1053194498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COROLLA CT",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283911500",
            "telephone_number": "910-874-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BRAGG BLVD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034563",
            "telephone_number": "910-874-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Corolla Ct",
            "address_purpose": "LOCATION",
            "city": "Stedman",
            "state": "NC",
            "postal_code": "283911500",
            "country_code": "US",
            "telephone_number": "910-874-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CONVERSATION LOCATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS DEL RIO",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "133-447-0948"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 22, 2023; 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.