NPIMap

Organization Active NPI

Associate Behavioral Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1114123908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6005212 Issued in NC
Legal business name
ASSOCIATE BEHAVIORAL SERVICES
Practice address
206 E 7TH St
Lumberton, NC 28358
Phone
(910) 735-0556
Fax
(910) 735-0557
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory Moore, MA, P-LPC
Title
Ceo
Phone
(910) 735-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6005212 NC Primary

Addresses

Primary practice location

206 E 7TH St
Lumberton, NC 28358

Mailing address

206 E 7TH St
Lumberton, NC 28358
Phone (910) 735-0556

Other identifiers 1

IdentifierTypeStateIssuer
6005212MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Associate Behavioral Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114123908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 7TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-735-0556",
            "fax_number": "910-735-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 7TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-735-0556",
            "fax_number": "910-735-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-735-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, P-LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6005212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.