NPIMap

Organization Active NPI

Vision Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Louisburg, NC
National Provider Identifier
1528240272
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISION BEHAVIORAL HEALTH SERVICES, LLC
Practice address
104 N Main St
Louisburg, NC 27549-2516
Phone
(919) 496-7781
Fax
(919) 496-1477
NPI assigned
Dec 4, 2007
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mrs. Nicole Decarlo Qualls, MSW LCSW RYT200NPI 1528306685
Title
Ceo
Phone
(919) 496-7781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 N Main St
Louisburg, NC 27549-2516

Mailing address

104 N Main St
Louisburg, NC 27549-2516
Phone (919) 496-7781

Other practice location 1

113 Hilltop Vlg
Oxford, NC 27565-3002
Phone (919) 496-7781

Other practice location 2

111 Hilltop Vlg
Oxford, NC 27565-3002
Phone (919) 496-7781

National Provider Directory

National Provider Directory
Tax ID family
Vision Behavioral Health Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

113 Hilltop Vlg
Oxford, NC 27565
Phone (919) 496-7781

Practitioners & affiliated clinicians

Practitioners 1

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1528240272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Hilltop Vlg",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275653002",
            "country_code": "US",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hilltop Vlg",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275653002",
            "country_code": "US",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DECARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-496-7781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LCSW RYT200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.