NPIMap

Organization Active NPI

Fidelity Community Support Group, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1205132412
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIDELITY COMMUNITY SUPPORT GROUP, INC
Practice address
4324 S Alston Ave Ste 203
Durham, NC 27713-5296
Phone
(919) 806-0009
Fax
(919) 806-1201
NPI assigned
Feb 4, 2011
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Rebecca H Leopard, AA, BSPH
Title
Admin Dir of Operations
Phone
(919) 724-5415

Specialties & licenses 1

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

Addresses

Primary practice location

4324 S Alston Ave Ste 203
Durham, NC 27713-5296

Mailing address

4324 S Alston Ave Ste 203
Durham, NC 27713-2567
Phone (919) 724-5415

National Provider Directory

National Provider Directory

Locations

2327 Englert Dr
Ste 205
Durham, NC 27713
Phone (919) 806-0009

4324 S Alston Ave
Ste 203
Durham, NC 27713
Phone (919) 806-0009

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1205132412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132567",
            "telephone_number": "919-724-5415",
            "fax_number": "919-806-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 S ALSTON AVE STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135296",
            "telephone_number": "919-806-0009",
            "fax_number": "919-806-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY COMMUNITY SUPPORT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "LEOPARD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMIN DIR OF OPERATIONS",
        "authorized_official_telephone_number": "919-724-5415",
        "authorized_official_credential": "AA, BSPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.