C&M Behavioral Health, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008329 Issued in NC

Legal business name

C&M BEHAVIORAL HEALTH, PLLC

Practice address

1704 Highway 158
Roanoke Rapids, NC 27870

Phone

(252) 537-2273

Fax

(252) 537-2278

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Miss Stacie Michelle Medlin, LSWNPI 1013293182

Title

Owner/President

Phone

(252) 578-1986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacie M Medlin, LCSW

  • Clinical Social Worker
  • Jarvisburg, NC
  • NPI 1013293182
  Medicare reassignment Care Compare group Authorized official
• Karlus C. Artis, M.D.

  • Family Medicine Physician
  • Goldsboro, NC
  • NPI 1649386632
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1801222070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HIGHWAY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-537-2273",
            "fax_number": "252-537-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HIGHWAY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-537-2273",
            "fax_number": "252-537-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "252-578-1986",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Burnett, LPA
• William Joseph Burrell, PA-C
• Retha Bylsma
• C Douglas Peedin Jr DDS
• C.a.R.E, Inc. (Cognitive Achievement and Rehabilitative Enrichment
• Marco Antonio Caceres Sr., MD
• Julie Ann Campbell-Barnes, FNP-C
• John Eric Campbell, CRNA
• Carelink Home Health Services, LLC
• Brandon Colby Carlisle, PA-C

• Community/Behavioral Health Agency in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.