SOUTHLIGHT HEALTHCARE (NPI# 1932305885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932305885 |
| Entity Type | Organization |
| Organization Name | SOUTHLIGHT HEALTHCARE |
| Practice Address |
1012 Oberlin Rd. Suite 300 Raleigh NC 27605-1396 |
| Mailing Address |
3125 Poplarwood Ct. Suite 203 Raleigh NC 27604-6445 |
| Practice Telephone | 9197876131 |
| Practice Fax Number | 9195712932 |
| Mailing Telephone | 9197876131 |
| Mailing Fax Number | 9195712932 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | REYNOLDS CLODFELTER (CEO) |
| Authorized Official Telephone | 9197876131 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | MHL092105 | NC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300533B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760811871 | Southlight Healthcare | Community/Behavioral Health | 1822 Gorman St, Apt. D, Raleigh, NC 27606-2984 | 2013-11-08 |
| 1962608919 | Southlight Healthcare | Community/Behavioral Health | 1952 Spring Dr, Garner, NC 27529-3486 | 2007-06-26 |
| 1164628020 | Southlight Healthcare | Counselor | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1135 | 2007-06-26 |
| 1447650478 | Southlight Healthcare | Community/Behavioral Health | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2014-08-27 |
| 1255760278 | Southlight Healthcare | Community/Behavioral Health | 220 Swinburne Rd, Raleigh, NC 27610-1834 | 2013-11-12 |
| 1801132071 | Southlight Healthcare | Clinical Medical Laboratory | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2012-12-17 |
| 1316268345 | Southlight Healthcare | Counselor | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2010-06-14 |
| 1083933998 | Southlight Healthcare | Counselor | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2010-05-18 |
| 1487821104 | Southlight Healthcare | Registered Nurse | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2008-05-12 |
| 1255526604 | Southlight Healthcare | Counselor | 1012 Oberlin Rd., Suite 300, Raleigh, NC 27605-1396 | 2007-09-10 |
| Street Address |
1012 OBERLIN RD. SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255526604 | Southlight Healthcare | Counselor | 1012 Oberlin Rd., Suite 300, Raleigh, NC 27605-1396 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| 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 |
|---|---|---|---|---|
| 1528688678 | Life Extensions LLC | Community/Behavioral Health | 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 | 2020-04-19 |
| 1639716368 | Monarch | Community/Behavioral Health | 1705 Beacon Bluff St, Raleigh, NC 27604-5446 | 2019-12-02 |
| 1700429396 | Transcending Limits Counseling Services Pllc | Community/Behavioral Health | 3445 Teravista Way, Raleigh, NC 27616-9310 | 2019-10-25 |
| 1497397137 | Ever-lasting Counseling Service LLC | Community/Behavioral Health | 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 | 2019-10-15 |
| 1285108373 | Metro Treatment of North Carolina L P | Community/Behavioral Health | 3911 New Bern Ave, Raleigh, NC 27610-1332 | 2019-01-11 |
| 1932670999 | Elevation Community Services, LLC | Community/Behavioral Health | 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 | 2018-12-16 |
| 1891297222 | Saving Hope, LLC | Community/Behavioral Health | 2501 Lilymount Dr, Raleigh, NC 27610-3476 | 2018-03-01 |
| 1508370776 | Resiliency In Recovery | Community/Behavioral Health | 3986 Cane Garden Dr, Raleigh, NC 27610-5696 | 2017-11-27 |
| 1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
| 1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
| Find all providers in RALEIGH | ||||
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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.