NPIMap

Organization Active NPI

County of Wake

Doing business as Wake County Human Services (MH DD Sa)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1295761617
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF WAKE
Doing business as
Wake County Human Services (MH DD Sa)
Practice address
3000 Falstaff Rd
Raleigh, NC 27610-1813
Phone
(919) 250-3100
Fax
(919) 250-3194
NPI assigned
Jun 25, 2006
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Alice O Wilkerson
Title
Client Accounting Manager
Phone
(919) 212-7817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NC

Addresses

Primary practice location

3000 Falstaff Rd
Raleigh, NC 27610-1813

Mailing address

PO Box 14169
Raleigh, NC 27620-4169
Phone (919) 250-3184

Other identifiers 3

IdentifierTypeStateIssuer
6005555MedicaidNC
7907609MedicaidNC
5901905MedicaidNC

Other names 1

  • WAKE COUNTY HUMAN SERVICES (MH DD SA) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000389 NC Part B Supplier - Clinic/Group Practice 6305759952 Receives reassigned benefits from 52 practitioners
1 other NPI on this enrollment
Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • County of Wake

    dba Wake County Health Dept

    • State or Local Public Health Clinic/Center
    • Raleigh, NC
    • NPI 1801957576

    O20031110000389

    Same enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1295761617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14169",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204169",
            "telephone_number": "919-250-3184",
            "fax_number": "919-250-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-250-3100",
            "fax_number": "919-250-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CLIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "919-212-7817"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005555",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7907609",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901905",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAKE COUNTY HUMAN SERVICES (MH DD SA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2010; 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.