Organization Active NPI

Cascade Behavioral Treatment Services, Inc

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1801901129
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-074-155 Issued in NC
Legal business name
CASCADE BEHAVIORAL TREATMENT SERVICES, INC
Practice address
325 Clifton St
Greenville, NC 27858-5005
Phone
(252) 758-2065
Fax
(252) 758-2084
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Ms. Wanda Teresa Williams, MS,LCAS
Title
Director
Phone
(252) 758-2065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MHL-074-155 NC
Community/Behavioral Health Agency 251S00000X MHL-074-155 NC Primary

Addresses

Primary practice location

325 Clifton St
Greenville, NC 27858-5005

Mailing address

PO Box 8344
Greenville, NC 27835-8344
Phone (252) 758-2065

Other identifiers 3

IdentifierTypeStateIssuer
6005919MedicaidNC
8300208MedicaidNC
6604056MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cascade Behavioral Treatment Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1801901129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8344",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358344",
            "telephone_number": "252-758-2065",
            "fax_number": "252-758-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLIFTON ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585005",
            "telephone_number": "252-758-2065",
            "fax_number": "252-758-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE BEHAVIORAL TREATMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-758-2065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,LCAS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL-074-155",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-074-155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005919",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300208",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.