COUNTY OF CUMBERLAND (NPI# 1558491381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558491381 |
| Entity Type | Organization |
| Organization Name | COUNTY OF CUMBERLAND |
| Practice Address |
109 Bradford Ave Fayetteville NC 28301-5401 |
| Mailing Address |
Po Box 3069 Fayetteville NC 28302-3069 |
| Practice Telephone | 9103230601 |
| Practice Fax Number | 9103230096 |
| Mailing Telephone | 9103230601 |
| Mailing Fax Number | 9103230096 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | MS. DENSIE D LUCAS (ASASISTANT AREA DIRECTOR) |
| Authorized Official Telephone | 9103230601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3404927 | 05 | |
| NC | PHYSICIAN GROUP NUMBER | 5901743 | 01 |
| NC | MULTI-SPECIALTY GROUP NUM | 6005806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881867372 | County of Cumberland | Public Health or Welfare | 309 Buck Street, Millville, NJ 08332 | 2008-04-07 |
| 1366573909 | County of Cumberland | Community/Behavioral Health | 226 Bradford Ave, Fayetteville, NC 28301-5404 | 2007-03-07 |
| 1952436248 | County of Cumberland | Case Manager/Care Coordinator | 16 W High St, Suite 301, Carlisle, PA 17013-2919 | 2007-02-23 |
| 1831249986 | County of Cumberland | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301-4401 | 2007-01-11 |
| 1942290002 | County of Cumberland | Skilled Nursing Facility | 154 Sunny Slope Dr, Bridgeton, NJ 08302-5732 | 2005-10-28 |
| 1700917390 | County of Cumberland | Durable Medical Equipment & Medical Supplies | 711 Executive Pl, Cap Program, Fayetteville, NC 28305-5193 | 2007-03-08 |
| 1659401453 | County of Cumberland | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2007-03-07 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF CUMBERLAND BRAGG ESTATES WATER AND SEWER DISTRICT | 130 Gillespie St, Fayetteville, NC 28301-5669 |
| System for Award Management (SAM) Entities | COUNTY OF CUMBERLAND OVERHILLS PARK W&S | 130 Gillespie St, Fayetteville, NC 28301-5669 |
| Street Address |
109 BRADFORD AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700976677 | Sharon Crawford | Counselor | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2006-10-13 |
| 1467917872 | Gregory Dean Schell | Social Worker | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2019-02-11 |
| 1568930618 | Victoria Bogan | Social Worker | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2018-11-07 |
| 1922534957 | Jarvell Devarea Brown | Counselor | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2017-05-11 |
| 1275905556 | Rachel Michelle Powell | Community/Behavioral Health | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2015-10-26 |
| 1386027001 | Hubert Williams Jr. | Counselor | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2015-06-30 |
| 1417378639 | Linda Kay Beecher | Social Worker | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2013-12-16 |
| 1215368915 | Henry Esdorn | Social Worker | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2013-12-05 |
| 1851733935 | Denise Mcqueen Green | Counselor | 109 Bradford Ave, Fayetteville, NC 28301 | 2013-07-18 |
| 1164744751 | Julia Harrison | Counselor | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 2010-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1831704691 | Adriana Londono | Counselor | 418 Person St Ste 103, Fayetteville, NC 28301-5886 | 2020-09-09 |
| 1881203487 | Finfa, Inc. | Counselor | 2026 Corrinna St, Fayetteville, NC 28301-3622 | 2020-07-29 |
| 1326657875 | Jeanette Middle Jordan-huffam Office | Counselor | 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 | 2020-07-29 |
| 1942824354 | Daytoria Marie Rhone | Counselor | 7816 Klondyke Dr, Fayetteville, NC 28311-9249 | 2020-06-01 |
| 1508486853 | Vivian M Davis | Counselor | 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 | 2020-04-16 |
| 1982255956 | Courtney Washington | Counselor | 1777 Michelle Ct, Fayetteville, NC 28304-5558 | 2019-09-21 |
| 1982251104 | Inspiring Change | Counselor | 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 | 2019-08-22 |
| 1245887868 | Erica Graham | Counselor | 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974 | 2019-08-19 |
| 1316502040 | Bettina Rochelle Melvin | Counselor | 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 | 2019-05-08 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on COUNTY OF CUMBERLAND.
| 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.