NPIMap

Organization Active NPI

Ican & Associates, Inc.

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1235466855
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5518 Issued in NC
Legal business name
ICAN & ASSOCIATES, INC.
Practice address
6112 Louise St
Fayetteville, NC 28314-2719
Phone
(910) 860-9787
Fax
(910) 860-3903
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Shannon M Battle, MA
Title
Director/Ceo
Phone
(910) 860-9787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5518 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6112 Louise St
Fayetteville, NC 28314-2719

Mailing address

PO Box 25433
Fayetteville, NC 28314-5007
Phone (910) 860-3903

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ican Associates Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1235466855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25433",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145007",
            "telephone_number": "910-860-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 LOUISE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142719",
            "telephone_number": "910-860-9787",
            "fax_number": "910-860-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "910-860-9787",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5518",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.