Active NPI
Triple E Medical Solutions LLC
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1750983581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TRIPLE E MEDICAL SOLUTIONS LLC
- Practice address
- 6506 Dental LN Ste 101
Fayetteville, NC 28314-0383 - Phone
- (910) 229-3597
- Fax
- (888) 391-2109
- NPI assigned
- Nov 16, 2020
- Last updated
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracie Clark, RHIA
- Title
- Owner
- Phone
- (888) 338-7293
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
6506 Dental LN Ste 101
Fayetteville, NC 28314-0383
Mailing address
6380 Cliffdale Rd Unit 25008
Fayetteville, NC 28314-2968
Phone (888) 338-7293
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer |
National Provider Directory
National Provider DirectoryLocations
6380 Cliffdale Rd
Unit 25008
Fayetteville, NC 28314
6506 Dental Ln
Ste 101
Fayetteville, NC 28314
Phone (910) 229-3597
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Sleep Medicine Physician
- Franklin, TN
- NPI 1700069861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1750983581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6380 CLIFFDALE RD UNIT 25008",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142968",
"telephone_number": "888-338-7293",
"fax_number": "888-391-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 DENTAL LN STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140383",
"telephone_number": "910-229-3597",
"fax_number": "888-391-2109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPLE E MEDICAL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-338-7293",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RHIA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Computer",
"address_1": "6506 Dental Ln Ste 101",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283140383",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.