J&J Community Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

FY06-07 Issued in NC

Legal business name

J&J COMMUNITY SERVICES

Practice address

2000 Fort Bragg Rd
Suite #3
Fayetteville, NC 28303-7041

Phone

(910) 864-5522

Fax

(910) 822-9022

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Teresa M Marible, MASTERS DEGREE

Title

Owner

Phone

(910) 864-5523

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1063544765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3163",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283023163",
            "telephone_number": "910-864-5523",
            "fax_number": "910-822-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FORT BRAGG RD",
            "address_2": "SUITE #3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037041",
            "telephone_number": "910-864-5522",
            "fax_number": "910-822-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "MARIBLE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-864-5523",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTERS DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "FY06-07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVILEGE BUSINESS LICENS",
            "identifier": "FY06-07",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.