NPIMap

Organization Active NPI

North Carolina Agricultural and Technical State University

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1962887281
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A11635 Issued in NC
Legal business name
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
Practice address
913 Bluford St.
Greensboro, NC 27401
Phone
(336) 285-2605
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Kristin Cheshire, LPCANPI 1548637754
Title
Intake Specialist
Phone
(336) 285-2605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A11635 NC Primary
Psychiatric Hospital 283Q00000X A11635 NC

Addresses

Primary practice location

913 Bluford St.
Greensboro, NC 27401

Mailing address

913 Bluford St.
Greensboro, NC 27401
Phone (336) 285-2605

Other names 1

  • Center for Behavioral Health and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Carolina at State University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1962887281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 BLUFORD ST.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-285-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BLUFORD ST.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-285-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "INTAKE SPECIALIST",
        "authorized_official_telephone_number": "336-285-2605",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "A11635",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NC",
            "license": "A11635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.