Active NPI
Triad Family and Childrens Services LLC
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1679953418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRIAD FAMILY AND CHILDRENS SERVICES LLC
- Practice address
- 5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112 - Phone
- (336) 986-9787
- NPI assigned
- Jun 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta Denise Brinkley
- Title
- Executive Director
- Phone
- (336) 986-9787
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112
Mailing address
5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112
Phone (336) 986-9787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251028000927 | NC | Part B Supplier - Clinic/Group Practice | 8123517406 |
Receives reassigned benefits from 1 practitioner Practice locations: Greensboro, NC |
National Provider Directory
National Provider DirectoryLocations
5709 W Friendly Ave
#A
Greensboro, NC 27410
Phone (252) 955-2354
111 N Chestnut St
Ste 301
Winston Salem, NC 27101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1679953418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104112",
"telephone_number": "336-986-9787",
"fax_number": "336-232-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104112",
"telephone_number": "336-986-9787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIAD FAMILY AND CHILDRENS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-07",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "BRINKLEY",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-986-9787"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.