.Community Counseling Services, PC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

.COMMUNITY COUNSELING SERVICES, PC.

Practice address

737 Durham Rd
Roxboro, NC 27573-5607

Phone

(336) 512-0702

Fax

(336) 330-0703

NPI assigned

Jul 25, 2010

Organization subpart

No

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

Authorized official

Name

Sarah M Taylor, LCSW

Title

Director

Phone

(336) 512-0702

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1922311554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FIRE TOWER DR",
            "city": "ROUGEMONT",
            "state": "NC",
            "postal_code": "275726816",
            "telephone_number": "336-512-0702",
            "fax_number": "336-330-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DURHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735607",
            "telephone_number": "336-512-0702",
            "fax_number": "336-330-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": ".COMMUNITY COUNSELING SERVICES, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-512-0702",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Roxboro, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.