TRIUMPH, LLC (NPI# 1255483285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255483285 |
| Entity Type | Organization |
| Organization Name | TRIUMPH, LLC |
| Practice Address |
207 10th St Suite 201 N Wilkesboro NC 28659-4153 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 3366671440 |
| Practice Fax Number | 3366671489 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | MRS. TALESHA ROLLOCK (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 9192560824 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIUMPH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275796112 | Triumph, LLC | Counselor | 104 King Circle, Danbury, NC 27016-7634 | 2008-07-09 |
| 1114299187 | Triumph, LLC | Community/Behavioral Health | 500 Millstone Dr, Hillsborough, NC 27278-9055 | 2012-02-06 |
| 1134399652 | Triumph, LLC | Psychologist | 355 S Madison Blvd, Suite C2, Roxboro, NC 27573-5485 | 2008-03-12 |
| 1154591386 | Triumph, LLC | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-03-04 |
| 1790962439 | Triumph, LLC | Community/Behavioral Health | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2008-01-24 |
| 1811176076 | Triumph, LLC | Community/Behavioral Health | 2209 Century Dr, Suite 101, Raleigh, NC 27612-3941 | 2007-10-24 |
| 1568508745 | Triumph, LLC | Counselor | 309 Wyche St, Henderson, NC 27536-4246 | 2007-01-29 |
| 1770639718 | Triumph, LLC | Community/Behavioral Health | 909 S Main St, Suite A, Burlington, NC 27215-5756 | 2007-01-25 |
| 1043314792 | Triumph, LLC | Psychiatry & Neurology | 118 Peace St, North Wilkesboro, NC 28659-4519 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TRIUMPH, LLC | 2601 Terrace Rd, Des Moines, IA 50312 |
| Washington State Corporations | TRIUMPH, LLC | 8096 Excelsior Blvd, Hopkins, MN 55343 |
| Colorado Business Entities | Triumph, LLC | 11799 Cormorant Cir, Parker, CO 80134 |
| Street Address |
207 10TH ST SUITE 201 |
| City | N WILKESBORO |
| State | NC |
| Zip Code | 28659-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659417830 | Triumph LLC | Case Management | 207 10th St, Suite 201, N Wilkesboro, NC 28659-4153 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083131841 | Roseann Pawlyszyn | Social Worker | 204 Jefferson St Ste 106, N Wilkesboro, NC 28659-3586 | 2017-08-23 |
| 1861824682 | Christopher Daniel Icenhour | Social Worker | 1400 Willow Ln, N Wilkesboro, NC 28659-3551 | 2013-08-02 |
| 1598021214 | Giovanna Gonzalez Benson | Social Worker | 1430 Willow Ln, West Park C61-2, N Wilkesboro, NC 28659-3551 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | N WILKESBORO |
| Zip Code | 28659 |
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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.