Alida S Mason LPC LCSW PLLC
Organization Active NPI Psychologist · Raeford, NC
NPI 1811066145 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1811066145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 3183 (NC)
- Legal business name
- ALIDA S MASON LPC LCSW PLLC
- Practice address
- 131 W Edinborough Ave
Raeford, NC 28376-2825 - Phone
- (910) 848-0700
- Fax
- (910) 848-0222
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason A Townsend
- Title
- Billing Manager
- Phone
- (910) 860-7008
Corporate family (same tax ID) 1
Practitioners 3
-
Christopher John Ketchman, PSY.D.
-
Alida S. Mason, LCSW, LPC
-
Marvin L Roberson, MA, LPA, HSP-PA
National Provider Directory
- Tax ID family
- Alida S Mason LCSW PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 243 | NC | |
| Mental Health Counselor |
101YM0800X | 5199 | NC | |
| Psychologist |
103T00000X | 1347 | NC | |
| Psychologist |
103T00000X | 3183 | NC | Yes |
| Clinical Social Worker |
1041C0700X | 1738 | NC | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 36397 | NC |
Addresses
Primary practice location
131 W Edinborough Ave
Raeford, NC 28376-2825
Mailing address
PO Box 35863
Fayetteville, NC 28303-0863
Phone (910) 221-5269
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005855 | Medicaid | NC |
Other names
- MASON AND ASSOCIATES
Other providers in Raeford, NC
- Ajels
- Ajels
- Donna M Ajo
- Caralynn Albin
- Lashaniece Mahogany Alford
- Charles Allen
- Kellie A. Allen
- Madison Allen
- Alliance Group 1 Home Care LLC
- Alpha Counseling & Dwi Services
All providers in Raeford, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.