Greater Outreach Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREATER OUTREACH SERVICES, LLC

Practice address

2530 Meridian Pkwy Ste 3006
Durham, NC 27713-5272

Phone

(833) 741-7770

Fax

(866) 770-5166

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Miss Nyesha Shanta Robinson, MSACNPI 1629569280

Title

Ceo

Phone

(833) 741-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Greater Outreach Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Greater Outreach Services

  • Community/Behavioral Health Agency
  • Camden, SC
  • NPI 1154783793
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nyesha Shanta Robinson, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
  • NPI 1629569280
  NPD Authorized official
• Kimani Seryby, LPC

  • Mental Health Counselor
  • Durham, NC
  • NPI 1124785423

  SC

  Medicare reassignment
• Dar'Ron Anderson, LCSWA

  • Clinical Social Worker
  • Durham, NC
  • NPI 1023451739
  NPD
• Larry Herman Daye, LCMHC

  • Mental Health Counselor
  • Durham, NC
  • NPI 1295167468
  NPD

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1427288919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MERIDIAN PKWY STE 50",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132261",
            "telephone_number": "833-741-7770",
            "fax_number": "866-770-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 3006",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135272",
            "telephone_number": "833-741-7770",
            "fax_number": "866-770-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER OUTREACH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NYESHA",
        "authorized_official_middle_name": "SHANTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-741-7770",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Tameka Gray, NP-C
• Monea'Ca Grayer
• Greater Ascension Community and Economic Development, Inc.
• Greater Carolina Sleep Diagnostics PLLC
• Greater Divine Home Care LLC
• Anya Vinette Green-Odlum, PA-C
• Alexis Leigh Green
• Alicia Marie Green, PHARMD
• Aquanda Green, LCAS, LCMHC
• Autumn Green

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.