Organization Active NPI

First Step Community Services, LLC

  • Community/Behavioral Health Agency
  • Mebane, NC
National Provider Identifier
1427452564
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIRST STEP COMMUNITY SERVICES, LLC
Practice address
1239A S Fifth St
Mebane, NC 27302-9706
Phone
(336) 395-3832
Fax
(336) 395-3847
NPI assigned
Oct 17, 2014
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mahkal L MathewsNPI 1306328091
Title
Chief Financial Officer
Phone
(919) 480-9793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1239A S Fifth St
Mebane, NC 27302-9706

Mailing address

1239A S Fifth St
Mebane, NC 27302-9706
Phone (336) 395-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819004718 NC Part B Supplier - Clinic/Group Practice 1759880388 Receives reassigned benefits from 2 practitioners
Practice locations: Creedmoor, NC

National Provider Directory

National Provider Directory

Locations

106 W Church St
Ste H
Creedmoor, NC 27522
Phone (919) 885-4046

1239A S Fifth St
Mebane, NC 27302
Phone (336) 395-3832

Practitioners & affiliated clinicians

Practitioners 2

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1427452564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239A S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029706",
            "telephone_number": "336-395-3832",
            "fax_number": "336-395-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239A S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029706",
            "telephone_number": "336-395-3832",
            "fax_number": "336-395-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MAHKAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-480-9793"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.