Organization Active NPI

Dry Bones Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1306311709
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DRY BONES COUNSELING SERVICES, PLLC
Practice address
2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone
(910) 663-1459
Fax
(910) 920-9644
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Michele A Girard, LCSWNPI 1609265099
Title
Owner
Phone
(910) 663-1459

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750

Mailing address

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone (910) 663-1459

Other identifiers 2

IdentifierTypeStateIssuer
1609265099MedicaidNC
102854200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190513001958 NC Part B Supplier - Clinic/Group Practice 1153664271 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

429 Person St
Ste 12
Fayetteville, NC 28301

2521 Raeford Rd
Ste D
Fayetteville, NC 28305
Phone (910) 379-6855

109 W Nance St
Whiteville, NC 28472
Phone (910) 674-5816

426 S Lee St
Whiteville, NC 28472
Phone (336) 213-4319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1306311709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "910-663-1459",
            "fax_number": "910-920-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "910-663-1459",
            "fax_number": "910-920-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY BONES COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-663-1459",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609265099",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102854200",
            "state": "FL"
        }
    ],
    "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 Jun 6, 2024; 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.