Organization Active NPI

Burliness Alliance LLC

  • Community/Behavioral Health Agency
  • Whitakers, NC
National Provider Identifier
1265105274
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BURLINESS ALLIANCE LLC
Practice address
1857 J P Rd
Whitakers, NC 27891-9189
Phone
(252) 969-0752
Fax
(252) 303-5484
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Teranda Michelle Knight, LCAS-ANPI 1083255137
Title
Vice President/Counselor
Phone
(252) 969-0752

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 Primary

Addresses

Primary practice location

1857 J P Rd
Whitakers, NC 27891-9189

Mailing address

1857 J P Rd
Whitakers, NC 27891-9189
Phone (252) 969-0752

Other identifiers 1

IdentifierTypeStateIssuer
1083255137MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Theralink Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1265105274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 J P RD",
            "city": "WHITAKERS",
            "state": "NC",
            "postal_code": "278919189",
            "telephone_number": "252-969-0752",
            "fax_number": "252-303-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 J P RD",
            "city": "WHITAKERS",
            "state": "NC",
            "postal_code": "278919189",
            "telephone_number": "252-969-0752",
            "fax_number": "252-303-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINESS ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TERANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT/COUNSELOR",
        "authorized_official_telephone_number": "252-969-0752",
        "authorized_official_credential": "LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083255137",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Theralink",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinical database",
            "address_1": "1857 J P Rd",
            "city": "Whitakers",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278919189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitakers, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.