Organization Active NPI

Behavior Education and Resource Specialists, Inc

  • Social Worker
  • Roanoke Rapids, NC
National Provider Identifier
1356664916
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BEHAVIOR EDUCATION AND RESOURCE SPECIALISTS, INC
Practice address
1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone
(252) 537-6799
Fax
(252) 537-6793
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Sandi Bennett
Title
Finance
Phone
(252) 537-6799

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Case Management Agency 251B00000X NC

Addresses

Primary practice location

1609 E 10TH St
Roanoke Rapids, NC 27870-4103

Mailing address

1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone (252) 537-6799

Other identifiers 6

IdentifierTypeStateIssuer
018KKOtherNCBCBS
018KKOtherNCHEALTH CHOICE
8300824GMedicaidNC
8300824HMedicaidNC
8300824BMedicaidNC
1962548834MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Behavior Education and Resource Specialist Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1356664916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR EDUCATION AND RESOURCE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "252-537-6799"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018KK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "018KK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300824G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300824H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300824B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962548834",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.