Organization Active NPI

ADHD Center for Success PA

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1578968137
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000238 Issued in NC
Legal business name
ADHD CENTER FOR SUCCESS PA
Practice address
218 E Chestnut St
Asheville, NC 28801-2570
Phone
(828) 301-1904
NPI assigned
Oct 24, 2014
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Rudy Rodriguez, LCSWNPI 1720157639
Title
Founder
Phone
(828) 301-1904

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000238 NC Primary

Addresses

Primary practice location

218 E Chestnut St
Asheville, NC 28801-2570

Mailing address

218 E Chestnut St
Asheville, NC 28801-2570
Phone (828) 301-1904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180822001603 NC Part B Supplier - Clinic/Group Practice 5698024735 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

218 E Chestnut St
Asheville, NC 28801
Phone (828) 251-0815

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1578968137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E CHESTNUT ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012570",
            "telephone_number": "828-301-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E CHESTNUT ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012570",
            "telephone_number": "828-301-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADHD CENTER FOR SUCCESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "828-301-1904",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.