Cumberland County Communicare, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

026-821 Issued in NC

Legal business name

CUMBERLAND COUNTY COMMUNICARE, INC.

Practice address

226 Bradford Ave.
Fayetteville, NC 28301-5404

Phone

(910) 829-9017

Fax

(910) 485-4752

NPI assigned

Apr 3, 2007

Last updated

Oct 26, 2012By 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

Ms. Sarah Hemingway Hallock

Title

Executive Director

Phone

(910) 222-6089

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Cumberland County Communicare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cumberland County Communicare, Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1255539870
  NPD tax ID
• Cumberland County Communicare, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1750720397
  NPD tax ID

Locations

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.

• Tessa Deville Moore

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1649937624
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1801917968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 87830",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047830",
            "telephone_number": "910-829-9017",
            "fax_number": "910-485-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BRADFORD AVE.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015404",
            "telephone_number": "910-829-9017",
            "fax_number": "910-485-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY COMMUNICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "HALLOCK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "HEMINGWAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-222-6089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "026-821",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-026-821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005914",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301516",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Care, Inc. (Whispering Pines Nursing and Rehabilitation Center)
• Cumberland Chiropractic North Inc (Back & Neck Pain Clinic)
• Cumberland Co. Hospital System Inc (Roxie Avenue Center)
• Cumberland County Communicare, Inc
• Cumberland County Communicare, Inc
• Cumberland County Coordinating Council on Older Adults, Inc.
• Cumberland County Department of Social Services
• Cumberland County Dept of Public Health
• Cumberland County EMS
• Cumberland County Health Dept

• 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 26, 2012; 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.