Organization Active NPI

Triad Family and Childrens Services LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1679953418
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Roberta Denise BrinkleyNPI 1174997811
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20251028000927 NC Part B Supplier - Clinic/Group Practice 8123517406 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.