NPIMap

Organization Active NPI

JKM Community Services, PLLC

  • Community/Behavioral Health Agency
  • Lillington, NC
National Provider Identifier
1720451784
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C001434 Issued in NC
Legal business name
JKM COMMUNITY SERVICES, PLLC
Practice address
1997 US 421 N
Lillington, NC 27546-7436
Phone
(910) 814-1081
Fax
(910) 814-1082
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mr. John E. Sloan Jr., LCSWNPI 1427109677
Title
License Clinical Social Worker
Phone
(919) 402-3421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C001434 NC Primary

Addresses

Primary practice location

1997 US 421 N
Lillington, NC 27546-7436

Mailing address

1997 US 421 N
Lillington, NC 27546-7436
Phone (910) 814-1081

National Provider Directory

National Provider Directory

Locations

4214 N Roxboro St
Ste 140
Durham, NC 27704
Phone (919) 226-1261

2109 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 223-7246

1970 W Arlington Blvd
Ste C
Greenville, NC 27834
Phone (252) 317-1195

340 Commerce Ave
Southern Pines, NC 28387
Phone (800) 445-6118

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1720451784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 US 421 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467436",
            "telephone_number": "910-814-1081",
            "fax_number": "910-814-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 US 421 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467436",
            "telephone_number": "910-814-1081",
            "fax_number": "910-814-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKM COMMUNITY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-402-3421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.