NPIMap

Organization Active NPI

Epic Community Services Inc

Doing business as Epic Behavioral Healthcare

  • Addiction (Substance Use Disorder) Counselor
  • St Augustine, FL
National Provider Identifier
1740673417
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP1203 Issued in FL
Legal business name
EPIC COMMUNITY SERVICES INC
Doing business as
Epic Behavioral Healthcare
Practice address
1400 Old Dixie Hwy Ste a
St Augustine, FL 32084-5733
Phone
(904) 829-2273
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Mrs. Patricia Greenough
Title
Ceo
Phone
(904) 829-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP1203 FL Primary

Addresses

Primary practice location

1400 Old Dixie Hwy Ste a
St Augustine, FL 32084-5733

Mailing address

1400 Old Dixie Hwy Ste a
St Augustine, FL 32084-5733
Phone (904) 829-2273

Other names 1

  • Epic Behavioral Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epic Community Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1740673417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845733",
            "telephone_number": "904-829-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845733",
            "telephone_number": "904-829-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "GREENOUGH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-829-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.