Organization Active NPI

Rehoboth Consulting Agency

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1184816555
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REHOBOTH CONSULTING AGENCY
Practice address
2501 Poole Rd
Raleigh, NC 27610-2819
Phone
(919) 834-2604
Fax
(919) 834-2607
NPI assigned
Aug 9, 2007
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Mrs. Lisa L. KingNPI 1851753941
Title
Founder/President
Phone
(919) 231-3352

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2501 Poole Rd
Raleigh, NC 27610-2819

Mailing address

PO Box 14449
Raleigh, NC 27620-4449
Phone (919) 834-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130107000195 NC Part B Supplier - Clinic/Group Practice 6901059690 Receives reassigned benefits from 3 practitioners
Practice locations: Zebulon, NC

National Provider Directory

National Provider Directory

Locations

815 N Arendell Ave
Ste 2E
Zebulon, NC 27597
Phone (919) 375-4866

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1184816555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14449",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204449",
            "telephone_number": "919-834-2604",
            "fax_number": "919-834-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 POOLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102819",
            "telephone_number": "919-834-2604",
            "fax_number": "919-834-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH CONSULTING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "919-231-3352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.