NPIMap

Organization Active NPI

Access Family Services

  • Group Psychotherapy Psychologist
  • Asheville, NC
National Provider Identifier
1124187299
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
ACCESS FAMILY SERVICES
Practice address
1100 Ridgefield Blvd Ste 190
Asheville, NC 28806-6211
Phone
(828) 670-7723
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Rob Nicolai
Title
Billing Director
Phone
(828) 670-7723

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1100 Ridgefield Blvd Ste 190
Asheville, NC 28806-6211

Mailing address

PO Box 19649
Charlotte, NC 28219-9649

Other practice location 1

1403 McCarthy Blvd
New Bern, NC 28562-2049
Phone (252) 633-5855

Other practice location 2

8390 Six Forks Rd Ste 201
Raleigh, NC 27615-3060
Phone (919) 890-5852

Other practice location 3

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459
Phone (910) 339-1928

Other practice location 4

522 S Duke St
Durham, NC 27701-3116
Phone (919) 908-6374

Other practice location 5

920 Blairhill Rd Ste 101
Charlotte, NC 28217-1563
Phone (910) 392-4881 ext. 4309

Other practice location 6

2835 Daisy Ln N Ste B
Wilson, NC 27896-6942
Phone (252) 234-0200

Other practice location 7

725 Wellington Ave
Wilmington, NC 28401-7652
Phone (910) 392-4881

Other practice location 8

738 4th St SW
Hickory, NC 28602-3401
Phone (704) 671-4487

Other practice location 9

621 Huntsman Ct
Gastonia, NC 28054-6060
Phone (704) 671-4487

Other identifiers 1

IdentifierTypeStateIssuer
5900300MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BPena@accessfamilyservices.com

National Provider Directory

National Provider Directory
Tax ID family
Access Family Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

522 S Duke St
Durham, NC 27701
Phone (919) 908-6374

1403 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-4461

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1124187299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RIDGEFIELD BLVD STE 190",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288066211",
            "telephone_number": "828-670-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 McCarthy Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285622049",
            "country_code": "US",
            "telephone_number": "252-633-5855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Six Forks Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153060",
            "country_code": "US",
            "telephone_number": "919-890-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2543 Ravenhill Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035459",
            "country_code": "US",
            "telephone_number": "910-339-1928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 S Duke St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277013116",
            "country_code": "US",
            "telephone_number": "919-908-6374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Blairhill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282171563",
            "country_code": "US",
            "telephone_number": "910-392-4881 x4309",
            "fax_number": "910-392-9559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 Daisy Ln N Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278966942",
            "country_code": "US",
            "telephone_number": "252-234-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017652",
            "country_code": "US",
            "telephone_number": "910-392-4881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286023401",
            "country_code": "US",
            "telephone_number": "704-671-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Huntsman Ct",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280546060",
            "country_code": "US",
            "telephone_number": "704-671-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "NICOLAI",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "828-670-7723"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900300",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BPena@accessfamilyservices.com",
            "affiliation": "N",
            "address_1": "920 Blairhill Rd Ste 101",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282171563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

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