NPIMap

Organization Active NPI

Key Behavior Essentials,LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1578866174
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEY BEHAVIOR ESSENTIALS,LLC
Practice address
8300 Falls of Neuse Rd Ste 108
Raleigh, NC 27615-3450
Phone
(919) 846-6800
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Ameshulah Ruth Proctor, MPA
Title
Coo/Owner
Phone
(919) 801-7268

Specialties & licenses 1

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

Addresses

Primary practice location

8300 Falls of Neuse Rd Ste 108
Raleigh, NC 27615-3450

Mailing address

12200 Arneson St
Raleigh, NC 27614-6961
Phone (919) 801-7268

National Provider Directory

National Provider Directory
Tax ID family
Key Behavior Essentials LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1578866174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ARNESON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146961",
            "telephone_number": "919-801-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD STE 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-846-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY BEHAVIOR ESSENTIALS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "AMESHULAH",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "COO/OWNER",
        "authorized_official_telephone_number": "919-801-7268",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.