NPIMap

Organization Active NPI

Residential Adolescent Adult Services and Training Inc.

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1710197561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-092-503 Issued in NC
Legal business name
RESIDENTIAL ADOLESCENT ADULT SERVICES AND TRAINING INC.
Practice address
304 W Millbrook Rd
Suite F
Raleigh, NC 27609-4381
Phone
(919) 329-2630
Fax
(919) 329-2631
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ignacio Roberto Kirk
Title
Owner Ceo
Phone
(919) 696-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MHL-092-503 NC Primary

Addresses

Primary practice location

304 W Millbrook Rd
Suite F
Raleigh, NC 27609-4381

Mailing address

304 W Millbrook Rd
Suite F
Raleigh, NC 27609-4381
Phone (919) 329-2630

Other identifiers 1

IdentifierTypeStateIssuer
8301859MedicaidNC

Other names 1

  • RAAST, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Handy's House9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710197561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W MILLBROOK RD",
            "address_2": "SUITE F",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094381",
            "telephone_number": "919-329-2630",
            "fax_number": "919-329-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MILLBROOK RD",
            "address_2": "SUITE F",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094381",
            "telephone_number": "919-329-2630",
            "fax_number": "919-329-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL ADOLESCENT ADULT SERVICES AND TRAINING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "919-696-6071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-092-503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301859",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAAST, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.