ELITE AAOLESCENT CARE, INC. (NPI# 1225464225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225464225 |
| Entity Type | Organization |
| Organization Name | ELITE AAOLESCENT CARE, INC. |
| Practice Address |
20513 S Highway 301 North St. Pauls NC 28384 |
| Mailing Address |
111 Lamon St 103 Fayetteville NC 28301-4901 |
| Practice Telephone | 9104830234 |
| Practice Fax Number | 9104832246 |
| Mailing Telephone | 9104830324 |
| Mailing Fax Number | 9104832246 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | MR. BARSHEEM CHAPMAN (CEO) |
| Authorized Official Telephone | 9104830324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6008828 | 05 |
| Street Address |
20513 S HIGHWAY 301 NORTH |
| City | ST. PAULS |
| State | NC |
| Zip Code | 28384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770128936 | Anew Dawn Counseling and Consulting, Pllc | Social Worker | 209-a West Armfield Street, Saint Pauls, NC 28384 | 2019-11-12 |
| 1710437843 | Luke Gooden | Pharmacist | 120 Odom Road, Saint Pauls, NC 28384 | 2016-10-13 |
| 1942510177 | Beck Chiropractic Center, Pa | Chiropractor | 123 North Second Street, St Pauls, NC 28384 | 2010-10-21 |
| 1376858696 | Cromartie /spring Village | Assisted Living Facility | 508 E. Worth St, St. Pauls, NC 28384 | 2010-08-11 |
| 1902084684 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 153 E Mclean St., St. Pauls, NC 28384 | 2008-02-05 |
| 1699960302 | Primary Care of St. Pauls, LLC | Family Medicine | 122 East Blue Street, St. Pauls, NC 28384 | 2007-09-06 |
| 1720137037 | Three Rivers Medical Center | Internal Medicine | 580 W. Mclean St., St. Pauls, NC 28384 | 2007-01-09 |
| 1295818441 | Carolina Premier Health Care Pa | Family Medicine | 630 S Bennett Street, Southern Pines, NC 28384 | 2006-10-23 |
| 1235114570 | Encompass Health Care Inc | Durable Medical Equipment & Medical Supplies | 108 West Broad St, St Pauls, NC 28384 | 2005-12-09 |
| 1851839500 | Stephanie Hair | Pharmacist | 120 Odom Road, Saint Pauls, NC 28384-0120 | 2017-02-02 |
| Find all providers in zip 28384 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861551566 | Cms Agency, Inc. | Community/Behavioral Health | 408 W. Armfiled St., St. Pauls, NC 28384-1526 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.