NPIMap

Organization Active NPI

Trucare Behavioral Health Services, L.L.P.

  • Professional Counselor
  • Reidsville, NC
National Provider Identifier
1780834382
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6488 Issued in NC
Legal business name
TRUCARE BEHAVIORAL HEALTH SERVICES, L.L.P.
Practice address
1309 Northup St
Suite D
Reidsville, NC 27320-5611
Phone
(704) 808-0400
NPI assigned
Sep 19, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Ms. Dwan T Montgomery, LPCNPI 1417071077
Title
Owner
Phone
(704) 808-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6488 NC Primary

Addresses

Primary practice location

1309 Northup St
Suite D
Reidsville, NC 27320-5611

Mailing address

PO Box 14
Eden, NC 27288-3445
Phone (704) 808-0400

National Provider Directory

National Provider Directory

Locations

1309 Northup St
Ste D
Reidsville, NC 27320
Phone (704) 808-0400

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.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1780834382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883445",
            "telephone_number": "704-808-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 NORTHUP ST",
            "address_2": "SUITE D",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205611",
            "telephone_number": "704-808-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE BEHAVIORAL HEALTH SERVICES, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DWAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-808-0400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.