Active NPI
Core Outreach LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
National Provider Identifier
1093662769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CORE OUTREACH LLC
- Practice address
- 1020 Cedar Creek Rd
Fayetteville, NC 28312-6512 - Phone
- (910) 703-7776
- NPI assigned
- Mar 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia White, NCPSS
- Title
- Owner
- Phone
- (404) 916-1104
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1020 Cedar Creek Rd
Fayetteville, NC 28312-6512
Mailing address
1020 Cedar Creek Rd
Fayetteville, NC 28312-6512
Phone (404) 916-1104
National Provider Directory
National Provider DirectoryLocations
1020 Cedar Creek Rd
Fayetteville, NC 28312
Phone (404) 916-1104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1093662769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 CEDAR CREEK RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283126512",
"telephone_number": "404-916-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 CEDAR CREEK RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283126512",
"telephone_number": "910-703-7776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE OUTREACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-12",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-916-1104",
"authorized_official_credential": "NCPSS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.