Active NPI
Next Level Adolescent Services, Inc.
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1851694814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL032446
- Legal business name
- NEXT LEVEL ADOLESCENT SERVICES, INC.
- Practice address
- 1107 Holloway St
Suite Number 100
Durham, NC 27701-3852 - Phone
- (919) 683-6398
- NPI assigned
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wentiers Antario London
- Title
- Co-Owner
- Phone
- (252) 634-2211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL032446 | NC | Primary |
Addresses
Primary practice location
1107 Holloway St
Suite Number 100
Durham, NC 27701-3852
Mailing address
1107 Holloway St
Suite 100
Durham, NC 27701-3852
Phone (919) 683-6398
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302350 | Medicaid | NC | |
| 6008000 | Medicaid | NC | |
| 5915653 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Next Level Adolescent Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Durham, NC
- NPI 1043470768
Locations
1107 Holloway St
#100
Durham, NC 27701
Phone (919) 683-6398
1107 Holloway St
Ste 100
Durham, NC 27701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1851694814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HOLLOWAY ST",
"address_2": "SUITE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013852",
"telephone_number": "919-683-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 HOLLOWAY ST",
"address_2": "SUITE NUMBER 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013852",
"telephone_number": "919-683-6398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT LEVEL ADOLESCENT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "LONDON",
"authorized_official_first_name": "WENTIERS",
"authorized_official_middle_name": "ANTARIO",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "252-634-2211",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL032446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302350",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008000",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915653",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.