Assured Community Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ASSURED COMMUNITY SERVICES, LLC

Practice address

8025 N Point Blvd Ste 221
Winston Salem, NC 27106-3100

Phone

(336) 283-2699

Fax

(704) 818-4315

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Laquana Richmond, LCMHC LCAS CCSNPI 1801183850

Title

Coo

Phone

(336) 283-2699

Specialties & licenses 14

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laquana Alicia Richmond, LCMHC, LCAS, CCS,

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1801183850
  NPD Authorized official
• Jamee Reynolds Mack, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1790818011
  NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1053925727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NW COURT SQ STE 206",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532861",
            "telephone_number": "336-283-2699",
            "fax_number": "704-818-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 221",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063100",
            "telephone_number": "336-283-2699",
            "fax_number": "704-818-4315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6047 Tyvola Circle",
            "address_2": "Room 111",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282172821",
            "country_code": "US",
            "telephone_number": "704-251-9755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 NW Court Sq Ste 206",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "NC",
            "postal_code": "272532861",
            "country_code": "US",
            "telephone_number": "336-283-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248F E Broad St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286775325",
            "country_code": "US",
            "telephone_number": "704-978-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSURED COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "LAQUANA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "336-283-2699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC LCAS CCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053925727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Askk LLC (Southside Discount Pharmacy)
• Talia S Aslani
• Assist Focus, Inc
• Assisted Care and Intervention Services LLC
• Associates in Christian Counseling
• Marc Asta, DPT
• Asthma and Allergy Associates, P.a.
• Anthony John Atala, MD
• Katherine Atala, MD
• Annie Grace Atcheson, PA-C

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.