Active NPI
Burliness Alliance LLC
- Community/Behavioral Health Agency
- Whitakers, NC
National Provider Identifier
1265105274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teranda Michelle Knight, LCAS-A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083255137 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Theralink | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Community/Behavioral Health Agency
- Whitakers, NC
- NPI 1083255137
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.