Organization Active NPI

Therapeutic Alternatives Incorporated

  • Clinical Social Worker
  • Asheboro, NC
National Provider Identifier
1386662831
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPEUTIC ALTERNATIVES INCORPORATED
Practice address
962 S Fayetteville St
Asheboro, NC 27203-6410
Phone
(336) 626-1500
NPI assigned
Jul 17, 2006
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
THERAPEUTIC ALTERNATIVES INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mr. Kenneth Alan Burrow
Title
Vice President
Phone
(336) 495-2700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

962 S Fayetteville St
Asheboro, NC 27203-6410

Mailing address

PO Box 814
4270 Heath Dairy Rd
Randleman, NC 27317-0814
Phone (336) 495-2700

Other identifiers 1

IdentifierTypeStateIssuer
6005330MedicaidNC

National Provider Directory

National Provider Directory
Part of
Therapeutic Alternatives Incorporated

Locations

204 Lambert Rd
#A
Biscoe, NC 27209
Phone (910) 428-2515

287 East St
Ste 421
Pittsboro, NC 27312
Phone (919) 542-4422

501 Pointe South Dr
Randleman, NC 27317
Phone (336) 495-2800

108 Village Lake Rd
Siler City, NC 27344
Phone (919) 663-2127

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1386662831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "address_2": "4270 HEATH DAIRY RD",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2700",
            "fax_number": "336-495-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 S FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036410",
            "telephone_number": "336-626-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC ALTERNATIVES INCORPORATED",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "BURROW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-495-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.