CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE (NPI# 1962871798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962871798 |
| Entity Type | Organization |
| Organization Name | CARDINAL DIRECTIONS BEHAVIORAL HEALTHCARE |
| Practice Address |
2500 Nash St N Wilson NC 27896-1394 |
| Mailing Address |
1300 Tribute Center Dr Raleigh NC 27612-3214 |
| Practice Telephone | 9199173488 |
| Mailing Telephone | 9199170609 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | DANNY WAMSLEY (OWNER) |
| Authorized Official Telephone | 9199170609 |
| Authorized Official Credential | LCAS-A, MS, APBS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1043564271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932570488 | Cardinal Directions Behavioral Healthcare | Point of Service | 1300 Tribute Center Dr, Suite 135, Raleigh, NC 27612-3214 | 2015-10-09 |
| Street Address |
2500 NASH ST N |
| City | WILSON |
| State | NC |
| Zip Code | 27896-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053458588 | Unified Community Human Services | Case Manager/Care Coordinator | 2500 Nash St N, Wilson, NC 27896-1394 | 2007-02-01 |
| 1992271647 | Whitney Renee Kimble | Counselor | 2500 Nash St N, Wilson, NC 27896-1394 | 2018-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| 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 |
|---|---|---|---|---|
| 1982230454 | W.e. K.e.r.r. | Community/Behavioral Health | 2403 Wooten Blvd Sw Ste H, Wilson, NC 27893-4463 | 2020-03-17 |
| 1649823238 | Focused Interventions, LLC | Community/Behavioral Health | 1310 Ward Blvd, Wilson, NC 27893-4665 | 2019-07-22 |
| 1275993925 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 405 Nash St W, Ste 200, Wilson, NC 27893-3761 | 2016-02-23 |
| 1184007213 | Jincy S Golden | Community/Behavioral Health | 622 Sandy Stone Rd, Wilson, OK 73463-6717 | 2015-07-07 |
| 1497141550 | Rha Health Services, Inc | Community/Behavioral Health | 405 Nash St W Ste 200, Wilson, NC 27893-3761 | 2015-04-15 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1841534070 | Higher Heights Home Care | Community/Behavioral Health | 2404 Montgomery Dr Sw Ste C, Wilson, NC 27893-4462 | 2012-11-09 |
| 1477807022 | Summitcare Health Services, LLC | Community/Behavioral Health | 1800 Rand Rd W, Wilson, NC 27893-3447 | 2012-11-05 |
| 1396096566 | Holistic Harvest: An Integrative Counseling Center | Community/Behavioral Health | 703 Nash St W Ste D, Wilson, NC 27893-3058 | 2012-09-27 |
| 1801105408 | Bridges of Hope Inc | Community/Behavioral Health | 703 Nash St W, A, Wilson, NC 27893-3058 | 2010-09-29 |
| Find all providers in WILSON | ||||
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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.