NPIMap

Organization Active NPI

Asoociate Behavioral Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1306036504
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6005028 Issued in NC
Legal business name
ASOOCIATE BEHAVIORAL SERVICES
Practice address
206 East 7TH Street
Lumberton, NC 28358
Phone
(910) 735-0556
Fax
(910) 735-0557
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mr. Gregory Moore, MA, P-LPC
Title
Ceo
Phone
(910) 735-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6005028 NC Primary

Addresses

Primary practice location

206 East 7TH Street
Lumberton, NC 28358

Mailing address

206 East 7TH Street
Lumberton, NC 28358
Phone (910) 735-0556

Other identifiers 1

IdentifierTypeStateIssuer
6005028MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Associate Behavioral Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1306036504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST 7TH STREET",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-735-0556",
            "fax_number": "910-735-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EAST 7TH STREET",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28358",
            "telephone_number": "910-735-0556",
            "fax_number": "910-735-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOOCIATE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-735-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, P-LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6005028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005028",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.