Organization Active NPI

Human Service Associates

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1659771889
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C006918 Issued in NC
Legal business name
HUMAN SERVICE ASSOCIATES
Practice address
833 Wake Forest Business Park Ste E
Suite E
Wake Forest, NC 27587-7184
Phone
(919) 622-5776
Fax
(480) 393-5874
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Ms. Elizabeth Marie Detweiler, MSW,LCSW,LCAS
Title
Owner,Therapist,Addiction Counselor
Phone
(919) 622-5776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C006918 NC Primary

Addresses

Primary practice location

833 Wake Forest Business Park Ste E
Suite E
Wake Forest, NC 27587-7184

Mailing address

833 Wake Forest Business Park Ste E
Suite E
Wake Forest, NC 27587-7184
Phone (919) 622-5776

Other identifiers 1

IdentifierTypeStateIssuer
2853747MedicaidNC

National Provider Directory

National Provider Directory

Locations

833 Wake Forest Business Park
Ste E
Wake Forest, NC 27587
Phone (919) 622-5776

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1659771889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK STE E",
            "address_2": "SUITE E",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-622-5776",
            "fax_number": "480-393-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK STE E",
            "address_2": "SUITE E",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-622-5776",
            "fax_number": "480-393-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "DETWEILER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER,THERAPIST,ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "919-622-5776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW,LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C006918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2853747",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.