Cape Fear Behavioral Health Center LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CAPE FEAR BEHAVIORAL HEALTH CENTER LLC

Practice address

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Phone

(910) 339-0400

Fax

(910) 339-0396

NPI assigned

Nov 14, 2011

Last updated

Oct 3, 2014By 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

Dr. Angela Elizabeth Kidd

Title

Member/Manager

Phone

(910) 339-0400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 62

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.

• Jessica Mechelle Morrison, LPC-A LCAS-A

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1194357194

  Mental Health

  Medicare reassignment NPD
• Belinda Michele Adams, LPCA

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1477195626
  NPD
• Jennifer Anne Altamirano, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1043039084
  NPD
• Zhana Balaam, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1053965178
  NPD
• Anny Batista

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1457073991
  NPD
• Carl Bennett, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1891348827
  NPD
• Nadesha Crumbie, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1891328548
  NPD
• Kathleen Huddy, LPCA

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1225651656
  NPD
• Keith Michael Huffman, LCMHC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1043021165
  NPD
• Laura Jackson, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1003671512
  NPD
• Monique Dashelle Jackson, NCC, LCMHC-A, LCAS-A

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1952907321
  NPD
• Madelaine Jones

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1477444776
  NPD

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1790062057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "910-339-0400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cape Center Internal Medicine, PA
• Cape Center Medicine PLLC
• Cape Center Obstetrics & Gynecology (Cape Center Obstetrics and Gynecology PA)
• Cape Center Pediatrics P.a.
• Cape Fear Aesthetics PLLC
• Cape Fear Cardiology Associates PA
• Cape Fear Cardiovascular & Thoracic Surgery PA
• Cape Fear Counseling & Associates
• Cape Fear Discount Drug - Ramsey, LLC (Cape Fear Discount Drug)
• Cape Fear Discount Drug, LLC (Cape Fear Discount Drug)

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.