NPIMap

Organization Active NPI

Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1679956601
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA OUTREACH, LLC
Practice address
3325 Durham Chapel Hill Blvd Ste 210
Durham, NC 27707-2646
Phone
(919) 338-0939
Fax
(984) 888-0913
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA OUTREACH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Timothy Brooks, LCSWNPI 1710036439
Title
Co-Director
Phone
(919) 251-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3325 Durham Chapel Hill Blvd Ste 210
Durham, NC 27707-2646

Mailing address

3325 Durham Chapel Hill Blvd Ste 210
Durham, NC 27707-2646
Phone (919) 338-0939

National Provider Directory

National Provider Directory
Tax ID family
Carolina Outreach LLC19 organizations share this tax ID, including this one
Part of
Carolina Outreach LLC

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1679956601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD STE 210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072646",
            "telephone_number": "919-338-0939",
            "fax_number": "984-888-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD STE 210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072646",
            "telephone_number": "919-338-0939",
            "fax_number": "984-888-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OUTREACH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA OUTREACH, LLC",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "919-251-9001",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.