Active NPI
County of Cumberland
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1366573909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL-026-243
- Legal business name
- COUNTY OF CUMBERLAND
- Practice address
- 226 Bradford Ave
Fayetteville, NC 28301-5404 - Phone
- (910) 323-0601
- Fax
- (910) 323-0096
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Densie D Lucas
- Title
- Assistant Area Director
- Phone
- (910) 323-0601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-026-243 | NC | Primary |
Addresses
Primary practice location
226 Bradford Ave
Fayetteville, NC 28301-5404
Mailing address
PO Box 3069
Fayetteville, NC 28302-3069
Phone (910) 323-0601
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2263626 | PMD - Cumberland County | Certificate of waiver | Jun 29, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cumberland County Department of Social Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1659401453
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, NC
- NPI 1700917390
-
- Community/Retail Pharmacy
- Fayetteville, NC
- NPI 1134480718
-
- Case Management Agency
- Fayetteville, NC
- NPI 1710008404
-
- Dental Clinic/Center
- Fayetteville, NC
- NPI 1780074385
Locations
226 Bradford Ave
Fayetteville, NC 28301
Phone (910) 829-9017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1366573909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3069",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283023069",
"telephone_number": "910-323-0601",
"fax_number": "910-323-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 BRADFORD AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015404",
"telephone_number": "910-323-0601",
"fax_number": "910-323-0096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CUMBERLAND",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "DENSIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ASSISTANT AREA DIRECTOR",
"authorized_official_telephone_number": "910-323-0601",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-026-243",
"primary": true
}
],
"identifiers": [],
"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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.