NPIMap

Organization Active NPI

Vision Behavioral Health Services, LLC

  • Mental Health Counselor
  • Louisburg, NC
National Provider Identifier
1922163252
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VISION BEHAVIORAL HEALTH SERVICES, LLC
Practice address
104 N Main St
Louisburg, NC 27549-2516
Phone
(919) 496-7781
Fax
(919) 496-1477
NPI assigned
Dec 27, 2006
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Mrs. Nicole Decarlo Spruill, MSW LCSW RYT200
Title
Ceo
Phone
(919) 496-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NC Primary

Addresses

Primary practice location

104 N Main St
Louisburg, NC 27549-2516

Mailing address

104 N Main St
Louisburg, NC 27549-2516
Phone (919) 496-7781

Other identifiers 1

IdentifierTypeStateIssuer
8301200MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Vision Behavioral Health Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1922163252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "919-496-7781",
            "fax_number": "919-496-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DECARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-496-7781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LCSW RYT200"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.