NPIMap

Organization Active NPI

Associate Behavioral Services, Inc.

  • Mental Health Counselor
  • Lumberton, NC
National Provider Identifier
1154494821
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-078-161 Issued in NC
Legal business name
ASSOCIATE BEHAVIORAL SERVICES, INC.
Practice address
325 E 4TH St
Lumberton, NC 28358-5526
Phone
(910) 735-0556
Fax
(910) 735-0557
NPI assigned
Nov 17, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Gregory Moore, MA
Title
Clinical Director
Phone
(910) 735-0556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-078-161 NC
Mental Health Counselor 101YM0800X MHL-078-161 NC Primary

Addresses

Primary practice location

325 E 4TH St
Lumberton, NC 28358-5526

Mailing address

325 E 4TH St
Lumberton, NC 28358-5526
Phone (910) 735-0556

Other identifiers 19

IdentifierTypeStateIssuer
6002814MedicaidNC
6102230MedicaidNC
140JUOtherNCLPC PROVIDER
140JVOtherNCLPC PROVIDER
6005212MedicaidNC
6102788MedicaidNC
8300249GOtherNCDX ASSESSMENT
3409650MedicaidNC
6003212MedicaidNC
6601365MedicaidNC
8300348GOtherNCDX ASSESSMENT
8300348HOtherNCIN HOME
8300348BOtherNCCOMMUNITY SUPPORTS
8988468MedicaidNC
136W3OtherNCLCSW
8300308BOtherNCCOMMUNITY SUPPORTS
8300308HOtherNCDX ASSESSMENT
8300249BOtherNCCOMMUNITY SUPPORTS
8300249HOtherNCIN HOME

Other names 1

  • Associate Counseling Center Other name

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1154494821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 4TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585526",
            "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": "325 E 4TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585526",
            "telephone_number": "910-735-0556",
            "fax_number": "910-735-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-735-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-078-161",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-078-161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002814",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102230",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC PROVIDER",
            "identifier": "140JU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC PROVIDER",
            "identifier": "140JV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005212",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102788",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DX ASSESSMENT",
            "identifier": "8300249G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409650",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003212",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601365",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DX ASSESSMENT",
            "identifier": "8300348G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME",
            "identifier": "8300348H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY SUPPORTS",
            "identifier": "8300348B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988468",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "136W3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY SUPPORTS",
            "identifier": "8300308B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DX ASSESSMENT",
            "identifier": "8300308H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY SUPPORTS",
            "identifier": "8300249B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME",
            "identifier": "8300249H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associate Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 11, 2007; 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.