NPIMap

Organization Active NPI

Integrative Communtiy Solutions, LLC

  • Case Management Agency
  • Roxboro, NC
National Provider Identifier
1518295203
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251S00000X Issued in NC
Legal business name
INTEGRATIVE COMMUNTIY SOLUTIONS, LLC
Practice address
220 North Main Street
Roxboro, NC 27573-0849
Phone
(336) 330-0023
Fax
(336) 330-0028
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Mr. Willie Morgan, BA
Title
Executive Director
Phone
(336) 330-0023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 101YA0400X NC
Case Management Agency 251B00000X 251S00000X NC Primary

Addresses

Primary practice location

220 North Main Street
Roxboro, NC 27573-0849

Mailing address

PO Box 849
Roxboro, NC 27573-0849
Phone (336) 330-0023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1518295203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275730849",
            "telephone_number": "336-330-0023",
            "fax_number": "336-330-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NORTH MAIN STREET",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275730849",
            "telephone_number": "336-330-0023",
            "fax_number": "336-330-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COMMUNTIY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-330-0023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "101YA0400X",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.