NPIMap

Organization Active NPI

Community-Based Developmental Services, Inc.

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1740396779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3409677 Issued in NC
Legal business name
COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.
Practice address
3274 Rosehill Rd
Suite 2
Fayetteville, NC 28301-3018
Phone
(910) 488-5820
Fax
(910) 488-5837
NPI assigned
Aug 22, 2006
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
Mrs. Cynthia Bridgers Billops
Title
Executive Director
Phone
(910) 488-4584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 3409677 NC Primary

Addresses

Primary practice location

3274 Rosehill Rd
Suite 2
Fayetteville, NC 28301-3018

Mailing address

1735 Slater Ave
Fayetteville, NC 28301-4042
Phone (910) 488-4584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740396779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SLATER AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014042",
            "telephone_number": "910-488-4584",
            "fax_number": "910-630-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 ROSEHILL RD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013018",
            "telephone_number": "910-488-5820",
            "fax_number": "910-488-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY-BASED DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILLOPS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "BRIDGERS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-488-4584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3409677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, 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.