Organization Active NPI

Behavior Education & Resource Specialists, Inc.

Mental Health Counselor
Roanoke Rapids, NC

National Provider Identifier

1649317637

Registry record updated Apr 29, 2010

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Roanoke Rapids, NC
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Mental Health CounselorTaxonomy code 101YM0800X
Legal business name: BEHAVIOR EDUCATION & RESOURCE SPECIALISTS, INC.
Practice address: 1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone: (252) 537-6799
Fax: (252) 537-6793
NPI assigned: Jan 31, 2007
Last updated: Apr 29, 2010By the provider in NPPES
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name: Sandi Bennett
Title: Finance Manager
Phone: (252) 537-6799

Specialties & licenses 13

Specialty (taxonomy)	Code	State	Primary
Rural Health Clinic/Center	261QR1300X	NU
Mental Health Counselor	101YM0800X	NU	Primary
Professional Counselor	101YP2500X	NU
School Counselor	101YS0200X	NU
Psychologist	103T00000X	NU
Cognitive & Behavioral Psychologist	103TB0200X	NU
Clinical Psychologist	103TC0700X	NU
Counseling Psychologist	103TC1900X	NU
Clinical Child & Adolescent Psychologist	103TC2200X	NU
Intellectual & Developmental Disabilities Psychologist	103TM1800X	NU
Clinical Social Worker	1041C0700X	NU
School Social Worker	1041S0200X	NU
Marriage & Family Therapist	106H00000X	NU

Addresses

Primary practice location

1609 E 10TH St
Roanoke Rapids, NC 27870-4103

Mailing address

1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone (252) 537-6799

Other identifiers 45

Identifier	Type	State	Issuer
0136R	Other	NC	BCBS
018KK	Other	NC	BCBS
1205847324	Medicaid	NC
1215136494	Medicaid	NC
1265540587	Other	NC	HEALTHCHOICE
2823719	Other	NC	MEDICARE
0392C	Other	NC	BCBS
1043234305	Other	NC	HEALTHCHOICE
1245327535	Other	NC	HEALTHCHOICE
1476N	Other	NC	BCBS
1801917679	Medicaid	NC
6005462	Medicaid	NC
1265540587	Medicaid	NC
14410	Other	NC	BCBS
1871654285	Other	NC	HEALTH CHOICE
232093	Other	NC	MEDICARE
56162	Other	NC	MEDCOST
1871654285	Other	NC	PSYCHOLOGIST
195785	Other	NC	MEDCOST
198339	Other	NC	MEDCOST
1164624995	Other	NC	HEALTHCHOICE
1245327535	Other	NC	MEDCOST
144P1	Other	NC	BCBS
1519G	Other	NC	HEALTH CHOICE
198608	Other	NC	MEDCOST
2821267	Other	NC	MEDICARE
6000693	Medicaid	NC
1043234305	Other	NC	SOCIAL WORKER CLINICAL
1205847324	Other	NC	MEDICARE
1437309002	Other	NC	HEALTH CHOICE
2850999A	Other	NC	MEDICARE
6106370	Medicaid	NC
6107503	Medicaid	NC
1164624995	Medicaid	NC
1265452270	Other	NC	PSYCHIATRIST
1265540587	Other	NC	PSYCHOLOGIST
143V9	Other	NC	BCBS
3400151	Medicaid	NC
6003425	Medicaid	NC
6105177	Medicaid	NC
1215136494	Other	NC	HEALTHCHOICE
1437309002	Medicaid	NC
1972789550	Other	NC	HEALTHCHOICE
1972789550	Medicaid	NC
25960	Other	NC	BCBS

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1649317637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR EDUCATION & RESOURCE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "252-537-6799"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0136R",
            "state": "NC"
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
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            "state": "NC"
        },
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            "code": "05",
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            "state": "NC"
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        {
            "code": "01",
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            "issuer": "MEDICARE",
            "identifier": "2823719",
            "state": "NC"
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        {
            "code": "01",
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            "issuer": "BCBS",
            "identifier": "0392C",
            "state": "NC"
        },
        {
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        {
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            "issuer": "BCBS",
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            "state": "NC"
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            "desc": "MEDICAID",
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            "state": "NC"
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            "desc": "MEDICAID",
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            "identifier": "6005462",
            "state": "NC"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265540587",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14410",
            "state": "NC"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "1871654285",
            "state": "NC"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "56162",
            "state": "NC"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "1871654285",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "195785",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "198339",
            "state": "NC"
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            "identifier": "1164624995",
            "state": "NC"
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
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            "state": "NC"
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            "issuer": "BCBS",
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            "state": "NC"
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "198608",
            "state": "NC"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2821267",
            "state": "NC"
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000693",
            "state": "NC"
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER CLINICAL",
            "identifier": "1043234305",
            "state": "NC"
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1205847324",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
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            "state": "NC"
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            "state": "NC"
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400151",
            "state": "NC"
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003425",
            "state": "NC"
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            "code": "05",
            "desc": "MEDICAID",
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            "state": "NC"
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437309002",
            "state": "NC"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCHOICE",
            "identifier": "1972789550",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972789550",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.