SCHOOL SPECIFIED (NPI# 1245699016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245699016 |
| Entity Type | Organization |
| Organization Name | SCHOOL SPECIFIED |
| Practice Address |
375 Sequoyah Trl Cherokee NC 28719 |
| Mailing Address |
1 Hospital Road Caller Box C-268 Cherokee NC 28719-9253 |
| Practice Telephone | 8284979163 |
| Practice Fax Number | 8284976977 |
| Mailing Telephone | 8284979163 |
| Mailing Fax Number | 8284971723 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | CASEY COOPER (CEO) |
| Authorized Official Telephone | 8284979163 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHEROKEE INDIAN HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3400156 | 05 | |
| NC | BCBSNC | 0767C | 01 |
| Street Address |
375 SEQUOYAH TRL |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629106315 | Janice G. Lambert | Counselor | 375 Sequoyah Trl, Cherokee, NC 28719 | 2007-03-02 |
| 1073147351 | Morgan Buckner | Counselor | 375 Sequoyah Trl, Cherokee, NC 28719 | 2020-02-26 |
| 1629632419 | Rebecca Barker | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2019-04-26 |
| 1386208494 | Joseph Dwayne Lambert | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2019-04-24 |
| 1578039343 | Jill Marie Wright-smith | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| 1922574615 | Billie Jo Rich | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| 1255807202 | Lara Conner | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-17 |
| 1154703833 | Tishina Maxine Carroll | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2015-06-18 |
| 1861897100 | Leslie M Duncan | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2014-10-29 |
| 1043627011 | Stephanie E Debruhl | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2014-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139398 | Improved You Services LLC | Clinic/Center | 513 Hydrangea Cir Nw, Concord, NC 28027-7256 | 2020-09-22 |
| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
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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.