NPIMap

Organization Active NPI

Cascade Behavioral Treatment Services, Inc.

  • Professional Counselor
  • Greenville, NC
National Provider Identifier
1669608592
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MHL074155 Issued in NC
Legal business name
CASCADE BEHAVIORAL TREATMENT SERVICES, INC.
Practice address
325 Clifton St
Greenville, NC 27858-5005
Phone
(252) 758-2065
Fax
(252) 758-2084
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Ms. Wanda Teresa Williams, MS, LCAS
Title
Director
Phone
(252) 758-2065

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHL074155 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MHL074155 NC Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X MHL074155 NC

Addresses

Primary practice location

325 Clifton St
Greenville, NC 27858-5005

Mailing address

325 Clifton St
Greenville, NC 27858-5005
Phone (252) 758-2065

Other identifiers 1

IdentifierTypeStateIssuer
5911378MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cascade Behavioral Treatment Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1669608592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLIFTON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585005",
            "telephone_number": "252-758-2065",
            "fax_number": "252-758-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLIFTON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585005",
            "telephone_number": "252-758-2065",
            "fax_number": "252-758-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE BEHAVIORAL TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-758-2065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL074155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "MHL074155",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "MHL074155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911378",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.