Organization Active NPI

Coleridge Care Group

  • Community/Behavioral Health Agency
  • Dunn, NC
National Provider Identifier
1073491452
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLERIDGE CARE GROUP
Practice address
305 Coleridge Dr
Dunn, NC 28334-4408
Phone
(910) 658-4911
Fax
(910) 980-0966
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Lakisha McNeill
Title
Cfo
Phone
(910) 658-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 Coleridge Dr
Dunn, NC 28334-4408

Mailing address

201 N Wilson Ave
Dunn, NC 28334-4230
Phone (910) 658-4911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1073491452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WILSON AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344230",
            "telephone_number": "910-658-4911",
            "fax_number": "910-980-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COLERIDGE DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344408",
            "telephone_number": "910-658-4911",
            "fax_number": "910-980-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLERIDGE CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-658-4911"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.