Organization Active NPI

Capital Behavioral Health NC Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Clayton, NC
National Provider Identifier
1689492035
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CAPITAL BEHAVIORAL HEALTH NC INC
Practice address
428 E Stallings St
Clayton, NC 27520-2016
Phone
(919) 696-6071
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Authorized official

Name
Ignacio Kirk
Title
Owner/Ceo
Phone
(919) 696-6071

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

428 E Stallings St
Clayton, NC 27520-2016

Mailing address

7220 Aquinas Ave
Raleigh, NC 27617-6712
Phone (919) 696-6071

Other names 1

  • Capital Behavioral Health NC Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762646400000",
    "number": "1689492035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 AQUINAS AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176712",
            "telephone_number": "919-696-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E STALLINGS ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202016",
            "telephone_number": "919-696-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL BEHAVIORAL HEALTH NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-696-6071"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Behavioral Health NC Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capital Behavioral Health NC Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.