Behavioral Counseling & Psychological SVC, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-026-887 Issued in NC

Legal business name

BEHAVIORAL COUNSELING & PSYCHOLOGICAL SVC, PA

Practice address

916 Hay St
Fayetteville, NC 28305-5314

Phone

(910) 485-1703

Fax

(910) 435-0962

NPI assigned

May 14, 2013

Organization subpart

No

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

Authorized official

Name

Janet O Cardassi

Title

Owner/President

Phone

(910) 485-1703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The DWI Center Doing business as

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1962848291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055314",
            "telephone_number": "910-485-1703",
            "fax_number": "910-435-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055314",
            "telephone_number": "910-485-1703",
            "fax_number": "910-435-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL COUNSELING & PSYCHOLOGICAL SVC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "CARDASSI",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-485-1703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-026-887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303471Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The DWI Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• 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 14, 2013; 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.