Organization Active NPI

The Well of Hope Behavioral Services

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1326794652
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE WELL OF HOPE BEHAVIORAL SERVICES
Practice address
5 Centerview Dr Ste 158
Greensboro, NC 27407-3709
Phone
(919) 599-7751
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Beverley Diane Gray, LCMHCNPI 1487151551
Title
Owner/Service Provider
Phone
(919) 599-7751

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

5 Centerview Dr Ste 158
Greensboro, NC 27407-3709

Mailing address

5 Centerview Dr Ste 158
Greensboro, NC 27407-3709
Phone (919) 599-7751

Other practice location 1

801 Collington Dr
Mebane, NC 27302-8683
Phone (919) 599-7751

Other identifiers 1

IdentifierTypeStateIssuer
13734OtherNCLCMHC

National Provider Directory

National Provider Directory

Locations

1325 S Eugene St
Ste 109
Greensboro, NC 27406

5 Centerview Dr
Ste 158
Greensboro, NC 27407
Phone (919) 599-7751

5 Centerview Dr
Ste 101
Greensboro, NC 27407
Phone (336) 370-6466

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1326794652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 158",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "919-599-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 158",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "919-599-7751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Collington Dr",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273028683",
            "country_code": "US",
            "telephone_number": "919-599-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELL OF HOPE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/SERVICE PROVIDER",
        "authorized_official_telephone_number": "919-599-7751",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHC",
            "identifier": "13734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.