NPIMap

Organization Active NPI

NC Recovery Support Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1851464150
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
779 Issued in NC
Legal business name
NC RECOVERY SUPPORT SERVICES
Practice address
1100 Navaho Dr
Suite 125
Raleigh, NC 27609-7319
Phone
(919) 431-9874
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Clara Downing Bain, LCAS
Title
Owner
Phone
(919) 320-4981

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NC
Case Management Agency 251B00000X NC
Community/Behavioral Health Agency 251S00000X 779 NC Primary

Addresses

Primary practice location

1100 Navaho Dr
Suite 125
Raleigh, NC 27609-7319

Mailing address

1100 Navaho Dr
Suite 125
Raleigh, NC 27609-7319
Phone (919) 431-9874

Other identifiers 3

IdentifierTypeStateIssuer
6110542MedicaidNC
6111830MedicaidNC
8916145MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1851464150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NAVAHO DR",
            "address_2": "SUITE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097319",
            "telephone_number": "919-431-9874",
            "fax_number": "919-550-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NAVAHO DR",
            "address_2": "SUITE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097319",
            "telephone_number": "919-431-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "DOWNING BAIN",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-320-4981",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6110542",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111830",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8916145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.