180 Behavioral Health, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

4632 Issued in NC

Legal business name

180 BEHAVIORAL HEALTH, PLLC

Practice address

496 Morningside Dr.
Blowing Rock, NC 28605

Phone

(828) 268-4022

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Warren Dickson, MA, LPC, NCC

Title

Clinical Supervisor/Owner

Phone

(828) 268-4022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1760630016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1645",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286051645",
            "telephone_number": "828-268-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 MORNINGSIDE DR.",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "28605",
            "telephone_number": "828-268-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR/OWNER",
        "authorized_official_telephone_number": "828-268-4022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam E. Hill, DDS
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• Jennifer Marie Ammerlaan, MS, OTR/L
• Appalachian Regional Medical Associates Inc (The Harriet and Charles Davant Medical Clinic at Chestnut Ridge)
• Jennifer Arquette, MS CCC-SLP

• Adolescent and Children Mental Health Clinic/Center in Blowing Rock, NC
• Providers in Blowing Rock, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.