Organization Active NPI

Behavioral Associates of Asheboro

  • Addiction (Substance Use Disorder) Counselor
  • Asheboro, NC
National Provider Identifier
1932154408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0078 Issued in NC
Legal business name
BEHAVIORAL ASSOCIATES OF ASHEBORO
Practice address
547 N. Fayettevillie Street
Asheboro, NC 27205
Phone
(336) 629-7112
Fax
(336) 629-0312
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wanda L Daniel
Title
Office Manager
Phone
(336) 629-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 0078 NC Primary

Addresses

Primary practice location

547 N. Fayettevillie Street
Asheboro, NC 27205

Mailing address

547 N. Fayettevillie Street
Asheboro, NC 27204
Phone (336) 629-7112

Other identifiers 1

IdentifierTypeStateIssuer
6111760MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932154408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N. FAYETTEVILLIE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "27204",
            "telephone_number": "336-629-7112",
            "fax_number": "336-629-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N. FAYETTEVILLIE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "27205",
            "telephone_number": "336-629-7112",
            "fax_number": "336-629-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL ASSOCIATES OF ASHEBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-629-7112"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "0078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.