KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC (NPI# 1447395132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447395132 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC |
| Practice Address |
3035 Boone Trail Ext Ste H Fayetteville NC 28304-3860 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 9102230949 |
| Practice Fax Number | 9102239626 |
| Mailing Telephone | 6107998543 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | MR. MICHAEL SLACK (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | 5146A | NC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880413 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3109 Poplarwood Court, Cypress Building, Raleigh, NC 27604 | 2007-02-22 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1942345731 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3117 Poplarwood Ct Ste 100, Raleigh, NC 27604-1040 | 2007-02-20 |
| 1013089325 | Kidspeace National Centers of North America Inc | Foster Care Agency | 4085 Independence Dr, Schnecksville, PA 18078-2574 | 2006-11-14 |
| 1194055756 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3710 University Dr, Suite 200, Durham, NC 27707-6203 | 2010-01-05 |
| 1487894200 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2009-03-06 |
| 1013157833 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Dr, Aberdeen, NC 28315-2202 | 2009-03-06 |
| 1861511172 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Dr, Aberdeen, NC 28315-2202 | 2007-03-28 |
| 1457486797 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 2711 Breezewood Ave, Fayetteville, NC 28303-5504 | 2007-02-23 |
| Street Address |
3035 BOONE TRAIL EXT STE H |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168821 | Brittini Hooker | Counselor | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2019-05-07 |
| 1124530142 | Kelly Lynn Rios | Counselor | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304 | 2017-10-31 |
| 1487894200 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 3035 Boone Trail Ext Ste H, Fayetteville, NC 28304-3860 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1528696796 | Faith Springs Eternal (fase), Pllc | Community/Behavioral Health | 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 | 2020-04-01 |
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1124591094 | Changing Places Therapeutic Center, Company | Community/Behavioral Health | 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 | 2019-01-03 |
| 1538632518 | Benevolent Counseling, Pllc | Community/Behavioral Health | 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 | 2019-01-02 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| 1629578851 | Jeanette Bostick | Community/Behavioral Health | 1628 Turkey Run, Fayetteville, NC 28312-7643 | 2018-02-14 |
| 1942718325 | A Mother's Pursuit, LLC | Community/Behavioral Health | 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 | 2018-01-18 |
| 1992213771 | Deborah A Atkinson Phd Pllc | Community/Behavioral Health | 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 | 2018-01-16 |
| 1841739455 | Aci Support Specialists | Community/Behavioral Health | 414 Snowhill Rd, Fayetteville, NC 28306-9073 | 2017-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC.
| 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.