Organization Active NPI

Comprehensive Community Supportive Services PLLC

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1578014429
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE COMMUNITY SUPPORTIVE SERVICES PLLC
Practice address
2260 S. Church St.
Suite 503
Burlington, NC 27215-5378
Phone
(844) 562-2777
Fax
(336) 350-7737
NPI assigned
Oct 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mrs. Jennifer Denece Wilson, LCSWNPI 1063834919
Title
Executive Director
Phone
(844) 562-2777

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2260 S. Church St.
Suite 503
Burlington, NC 27215-5378

Mailing address

2260 S. Church St.
Suite 503
Burlington, NC 27215-5378
Phone (844) 562-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161220000561 NC Part B Supplier - Clinic/Group Practice 5597046144 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, NC
O20170203002012 VA Part B Supplier - Clinic/Group Practice 5597046144 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

2260 S Church St
Ste 503
Burlington, NC 27215

350 Holly Hill Ln
Ste 350
Burlington, NC 27215
Phone (844) 562-2777

Practitioners & affiliated clinicians

Practitioners 4

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": "1476576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1578014429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 S. CHURCH ST.",
            "address_2": "SUITE 503",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155378",
            "telephone_number": "844-562-2777",
            "fax_number": "336-350-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 S. CHURCH ST.",
            "address_2": "SUITE 503",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155378",
            "telephone_number": "844-562-2777",
            "fax_number": "336-350-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY SUPPORTIVE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-16",
        "last_updated": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DENECE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "844-562-2777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.