NPIMap

Organization Active NPI

Easter Seals Ucp Asap Inc

Doing business as Asap

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1770640203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EASTER SEALS UCP ASAP INC
Doing business as
Asap
Practice address
134 Wind Chime CT
Raleigh, NC 27615-6433
Phone
(919) 784-9182
Fax
(919) 784-9184
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Lisa Sullivan Sullivan
Title
Director of Support Services
Phone
(919) 784-9182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

134 Wind Chime CT
Raleigh, NC 27615-6433

Mailing address

3801 Lake Boone TRL
Raleigh, NC 27607-2934
Phone (919) 784-9182

Other identifiers 2

IdentifierTypeStateIssuer
018KJOtherNCNC BCBS
6005830MedicaidNC

Other names 1

  • ASAP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Area Services and Programs Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3801 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-9182

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770640203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072934",
            "telephone_number": "919-784-9182",
            "fax_number": "919-784-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156433",
            "telephone_number": "919-784-9182",
            "fax_number": "919-784-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP ASAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SULLIVAN",
        "authorized_official_title_or_position": "DIRECTOR OF  SUPPORT  SERVICES",
        "authorized_official_telephone_number": "919-784-9182",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "018KJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, 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.