KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC (NPI# 1457486797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457486797 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC |
| Practice Address |
2711 Breezewood Ave Fayetteville NC 28303-5504 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 8008543123 |
| Practice Fax Number | 6107998318 |
| Mailing Telephone | 6107998343 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | MR. MICHAEL W SLACK (VP FOR MARKETING & BUSINESS DEVELOP) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5146A | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880413 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3109 Poplarwood Court, Cypress Building, Raleigh, NC 27604 | 2007-02-22 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1447395132 | Kidspeace National Centers of North America Inc | Foster Care Agency | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2007-02-20 |
| 1942345731 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3117 Poplarwood Ct Ste 100, Raleigh, NC 27604-1040 | 2007-02-20 |
| 1013089325 | Kidspeace National Centers of North America Inc | Foster Care Agency | 4085 Independence Dr, Schnecksville, PA 18078-2574 | 2006-11-14 |
| 1194055756 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3710 University Dr, Suite 200, Durham, NC 27707-6203 | 2010-01-05 |
| 1487894200 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2009-03-06 |
| 1013157833 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Dr, Aberdeen, NC 28315-2202 | 2009-03-06 |
| 1861511172 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Dr, Aberdeen, NC 28315-2202 | 2007-03-28 |
| Street Address |
2711 BREEZEWOOD AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881749539 | G. Martin Woodard | Clinical Neuropsychologist | 2711 Breezewood Ave, Suite A - 5, Fayetteville, NC 28303-5504 | 2007-01-24 |
| 1568616753 | Brian Edward Rixon | Counselor | 2711 Breezewood Ave, Fayetteville, NC 28303-5504 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| 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 |
|---|---|---|---|---|
| 1528696796 | Faith Springs Eternal (fase), Pllc | Community/Behavioral Health | 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 | 2020-04-01 |
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1124591094 | Changing Places Therapeutic Center, Company | Community/Behavioral Health | 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 | 2019-01-03 |
| 1538632518 | Benevolent Counseling, Pllc | Community/Behavioral Health | 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 | 2019-01-02 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| 1629578851 | Jeanette Bostick | Community/Behavioral Health | 1628 Turkey Run, Fayetteville, NC 28312-7643 | 2018-02-14 |
| 1942718325 | A Mother's Pursuit, LLC | Community/Behavioral Health | 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 | 2018-01-18 |
| 1992213771 | Deborah A Atkinson Phd Pllc | Community/Behavioral Health | 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 | 2018-01-16 |
| 1841739455 | Aci Support Specialists | Community/Behavioral Health | 414 Snowhill Rd, Fayetteville, NC 28306-9073 | 2017-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC.
| 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.