NPIMap

Organization Active NPI

Big Bend Community Intervention Center

  • Community/Behavioral Health Agency
  • Midway, FL
National Provider Identifier
1831492669
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 9723 Issued in FL
Legal business name
BIG BEND COMMUNITY INTERVENTION CENTER
Practice address
155 Slash Cir
Midway, FL 32343-4258
Phone
(850) 508-1870
Fax
(850) 539-9303
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Alisha T Burns, LCSWNPI 1932414067
Title
Owner
Phone
(850) 508-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 9723 FL Primary

Addresses

Primary practice location

155 Slash Cir
Midway, FL 32343-4258

Mailing address

PO Box 1237
Quincy, FL 32353-1237
Phone (850) 508-1870

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1831492669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1237",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323531237",
            "telephone_number": "850-508-1870",
            "fax_number": "850-539-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SLASH CIR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323434258",
            "telephone_number": "850-508-1870",
            "fax_number": "850-539-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND COMMUNITY INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-508-1870",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 9723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.