COUNTY OF CUMBERLAND (NPI# 1659401453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659401453 |
| Entity Type | Organization |
| Organization Name | COUNTY OF CUMBERLAND |
| Practice Address |
711 Executive Pl Fayetteville NC 28305-5193 |
| 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 (ASSISTANT AREA DIRECTOR) |
| Authorized Official Telephone | 9103230601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: 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 | PHYSICIAN GROUP NUMBER | 5901612 | 01 |
| NC | MULTI-SPECIALTY GROUP NUM | 6005801 | 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 |
| 1558491381 | County of Cumberland | Psychiatry & Neurology | 109 Bradford Ave, Fayetteville, NC 28301-5401 | 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 |
| Street Address |
711 EXECUTIVE PL |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457447765 | Kenneth Dittmar | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2006-10-05 |
| 1649707936 | Samantha Curley Britt | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2017-05-17 |
| 1295117117 | Jasmine Akalaonu | Counselor | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2015-06-27 |
| 1245618081 | Anupama Sundar | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2015-05-13 |
| 1588092506 | Mallorie Lamia | Physician Assistant | 711 Executive Pl, 3rd Floor, Fayetteville, NC 28305-5193 | 2013-10-30 |
| 1114353257 | Courtney Thomas | Counselor | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2013-09-20 |
| 1427382308 | Antoinette H Howard | Social Worker | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2009-09-25 |
| 1649420688 | Sherry Hoang Smith | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2008-09-26 |
| 1376793711 | Megan H Bickel | Counselor | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2008-09-23 |
| 1700917390 | County of Cumberland | Durable Medical Equipment & Medical Supplies | 711 Executive Pl, Cap Program, Fayetteville, NC 28305-5193 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| 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 | 28305 |
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.