NPIMap

Organization Active NPI

Vision Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Kernersville, NC
National Provider Identifier
1710187703
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISION BEHAVIORAL HEALTH SERVICES, LLC
Practice address
495 Arbor Hill Rd Ste E
Kernersville, NC 27284-3335
Phone
(336) 992-0429
Fax
(336) 993-3709
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Sharon Elizabeth Garrett, M.ED.
Title
Chief Operating Officer
Phone
(336) 992-0429

Specialties & licenses 1

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

Addresses

Primary practice location

495 Arbor Hill Rd Ste E
Kernersville, NC 27284-3335

Mailing address

495 Arbor Hill Rd Ste E
Kernersville, NC 27284-3335
Phone (336) 992-0429

Other identifiers 1

IdentifierTypeStateIssuer
6006049MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Vision Behavioral Health Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

495 Arbor Hill Rd
Ste E
Kernersville, NC 27284
Phone (336) 992-0429

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1710187703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ARBOR HILL RD STE E",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843335",
            "telephone_number": "336-992-0429",
            "fax_number": "336-993-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ARBOR HILL RD STE E",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843335",
            "telephone_number": "336-992-0429",
            "fax_number": "336-993-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-992-0429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006049",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.