Organization Active NPI

North Carolina Center for Behavioral Health Services

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1093438673
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NORTH CAROLINA CENTER FOR BEHAVIORAL HEALTH SERVICES
Practice address
181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573
Phone
(253) 576-3898
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Dr. Tracey Lynette Rodriguez, PSY.DNPI 1629251723
Title
Ceo
Phone
(253) 576-3898

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

181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573

Mailing address

181 Wind Chime CT Ste 201
Raleigh, NC 27615-6573
Phone (253) 576-3898

National Provider Directory

National Provider Directory

Locations

181 Wind Chime Ct
Ste 201
Raleigh, NC 27615
Phone (253) 576-3898

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1093438673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WIND CHIME CT STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156573",
            "telephone_number": "253-576-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WIND CHIME CT STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156573",
            "telephone_number": "253-576-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CENTER FOR BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-576-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "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 Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.