Pinnacle Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PINNACLE THERAPEUTIC SERVICES

Practice address

1300 N Bridge St Ste 104
Elkin, NC 28621-2352

Phone

(336) 874-2475

Fax

(800) 755-1439

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ken Simmons

Title

Owner

Phone

(336) 874-2475

Specialties & licenses 14

Addresses

Other identifiers 1

Tax ID family

Pinnacle Therapeutic Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Pinnacle Therapeutic Services

  • Psychiatric Residential Treatment Facility
  • Concord, NC
  • NPI 1174969034
  NPD tax ID
• Pinnacle Therapeutic Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1518369966
  NPD tax ID
• Pinnacle Therapeutic Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1629474614
  NPD tax ID
• Pinnacle Therapeutic Services

  • Addiction (Substance Use Disorder) Counselor
  • Thomasville, NC
  • NPI 1922404979
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher James Macemore, M.S, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Elkin, NC
  • NPI 1659778199
  NPD (past)

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1689073058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280700593",
            "telephone_number": "704-996-8684",
            "fax_number": "800-755-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N BRIDGE ST STE 104",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212352",
            "telephone_number": "336-874-2475",
            "fax_number": "800-755-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E Main St",
            "address_2": "19 E. Main Street",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273604043",
            "country_code": "US",
            "telephone_number": "704-996-8684",
            "fax_number": "800-755-1439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Rolling Hill Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176511",
            "country_code": "US",
            "telephone_number": "336-874-2475",
            "fax_number": "800-755-1439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "983 US 21",
            "address_purpose": "LOCATION",
            "city": "State Road",
            "state": "NC",
            "postal_code": "286768710",
            "country_code": "US",
            "telephone_number": "336-874-2475",
            "fax_number": "800-755-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-874-2475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
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        },
        {
            "code": "101YP2500X",
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        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
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        },
        {
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        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
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            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
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        },
        {
            "code": "103TC1900X",
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        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
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            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
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        {
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        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
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        },
        {
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        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689073058",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Elkin, NC
• Providers in Elkin, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.