NEW RIVER SERVICE AUTHORITY (NPI# 1114197993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114197993 |
| Entity Type | Organization |
| Organization Name | NEW RIVER SERVICE AUTHORITY |
| Other Organization Name | NEW RIVER BEHAVIORAL HEALTHCARE |
| Practice Address |
320 E Lee Ave Yadkinville NC 27055-8132 |
| Mailing Address |
895 State Farm Rd Suite 508 Boone NC 28607-4917 |
| Practice Telephone | 3366798805 |
| Practice Fax Number | 8282625687 |
| Mailing Telephone | 8282635666 |
| Mailing Fax Number | 8282625687 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | PATRICIA P ANDREWS (CEO) |
| Authorized Official Telephone | 3363724095 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | 2329286 | 01 |
| Other Name | Type Code |
|---|---|
| New River Behavioral HealthCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205132008 | New River Service Authority | Clinic/Center | 172 Lukin St, Marion, NC 28752-5245 | 2011-01-27 |
| 1659532562 | New River Service Authority | Community/Behavioral Health | 2415 Morganton Blvd Sw, Lenoir, NC 28645-9691 | 2008-06-23 |
| 1801098199 | New River Service Authority | Community/Behavioral Health | 189 Samaritan Ridge Rd, Elkin, NC 28621-2452 | 2007-05-31 |
| 1689731366 | New River Service Authority | Community/Behavioral Health | 162 Wm. Jb Blevins Road, Jefferson, NC 28640-9723 | 2007-01-02 |
| 1366502536 | New River Service Authority | Community/Behavioral Health | 221 West Main Street, Jefferson, NC 28640-9723 | 2006-12-11 |
| 1316005549 | New River Service Authority | Community/Behavioral Health | 377 Shadowline Dr, Boone, NC 28607-4950 | 2006-12-04 |
| 1720360944 | New River Service Authority | Foster Care Agency | 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 | 2011-09-14 |
| 1295046290 | New River Service Authority | Community/Behavioral Health | 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 | 2010-06-24 |
| 1013149665 | New River Service Authority | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2009-08-17 |
| 1356581672 | New River Service Authority | Clinic/Center | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2009-02-26 |
| Street Address |
320 E LEE AVE |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-8132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699793976 | Sandra E Connor | Social Worker | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2006-07-17 |
| 1063923548 | Jennifer Rebecca Jones | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2017-10-23 |
| 1740530864 | Crystal Leigh Hamlin | Registered Nurse | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2012-09-17 |
| 1518225739 | Kristy Tatem Weatherly | Registered Nurse | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2012-04-25 |
| 1790041416 | Cherria Mia Moore | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2012-04-06 |
| 1063786515 | Jerrold Max Evington | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2012-03-01 |
| 1629348388 | Shelly Johnson Hethcoat | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2012-01-11 |
| 1104195270 | Cleveland Nathaniel Cockerham Jr. | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-12-20 |
| 1679842660 | Angela Rene Peyton | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-12-20 |
| 1043596331 | Daymark Recovery Service Inc | Psychiatry & Neurology | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1841515640 | Strategic Interventions, LLC | Community/Behavioral Health | 403 E Main St, Yadkinville, NC 27055 | 2010-04-05 |
| 1891989752 | H. Diane Jenkins, LLC | Community/Behavioral Health | 110 W Elm St, Yadkinville, NC 27055-3313 | 2007-09-04 |
| 1497875603 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-30 |
| 1306966510 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-30 |
| 1942320403 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-29 |
| 1184740987 | Barium Springs Home for Children | Community/Behavioral Health | 733 E Main St, Yadkin Success Academy, Yadkinville, NC 27055-8137 | 2007-03-22 |
| 1770619686 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 748 N State St, Yadkinville, NC 27055-5253 | 2007-02-26 |
| 1639204969 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 748 N State St, Yadkinville, NC 27055-5253 | 2007-02-23 |
| Find all providers in YADKINVILLE | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.