Community Care Support Services Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMMUNITY CARE SUPPORT SERVICES INC

Practice address

2365 Taylor Pointe Way
Dacula, GA 30019-6930

Phone

(910) 779-7800

NPI assigned

Dec 11, 2025

Last updated

Dec 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon L Hall

Title

Owner

Phone

(910) 779-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Community Care Support Services Inc

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1063302628

  1456854249

  Same PAC ID
• Community Care Support Services Inc

  • Mental Health Counselor
  • Wallace, NC
  • NPI 1942093893

  1456854249

  Same PAC ID

Tax ID family

Community Care Support Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Community Care Support Services Inc

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1063302628
  NPD tax ID
• Community Care Support Services Inc

  • Professional Counselor
  • Washington, DC
  • NPI 1164330742
  NPD tax ID
• Community Care Support Services Inc

  • Mental Health Counselor
  • Wallace, NC
  • NPI 1942093893
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Care Support Services Inc

  • Mental Health Counselor
  • Wallace, NC
  • NPI 1942093893

  Member Of

  NPD member

Practitioners 3

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.

• Trelease Dawnyeil Hartfield, LPC

  • Professional Counselor
  • Aberdeen, MD
  • NPI 1346872249

  GA

  Medicare reassignment NPD
• John Coleman Jr., LPC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Louisburg, NC
  • NPI 1568032126
  NPD
• Latria G Rogers, LCPC, NCC

  • Professional Counselor
  • Upper Marlboro, MD
  • NPI 1265718506
  NPD

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1396609681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661619",
            "telephone_number": "910-779-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 TAYLOR POINTE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196930",
            "telephone_number": "910-779-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-779-7800"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Elizabeth Coffey, LCSW
• Chandler Brooks Cole
• Valerie Modupeh Cole, FNP-C
• Crina Coliba
• Julia L Collins
• Lucas Blaine Connor, DDS
• Cathryn Cordes, PT, DPT
• Alanis Corley, BCBA
• Holly Davidson Corley, M.D.
• Cornerstone Dentsitry; PC

• Mental Health Counselor in Dacula, GA
• Providers in Dacula, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.