R.J. BLACKLEY ADATC OUTPATIENT SERVICES (NPI# 1518566751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518566751 |
| Entity Type | Organization |
| Organization Name | R.J. BLACKLEY ADATC OUTPATIENT SERVICES |
| Practice Address |
100 W H St Butner NC 27509-1605 |
| Practice Telephone | 9195757928 |
| Practice Fax Number | 9195757260 |
| Mailing Telephone | 9195757928 |
| Mailing Fax Number | 9195757260 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | HELEN WOLSTENHOLME (DIVISION DIRECTOR) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | R. J. BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
100 W H ST |
| City | BUTNER |
| State | NC |
| Zip Code | 27509-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235373028 | Catherine Ward | Nurse Practitioner | 100 W H St, Butner, NC 27509-1605 | 2009-04-24 |
| 1083145015 | Dekevia Stanley | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-22 |
| 1386175354 | Erika Stroughton | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-22 |
| 1316478548 | Willesha Edwanda Miller | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-21 |
| 1801327929 | Nakia Hodges | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-21 |
| 1538600739 | Taneisha Jordan | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-20 |
| 1396286977 | Earl Robert Forbes | Social Worker | 100 W H St, Butner, NC 27509-1605 | 2017-03-15 |
| 1245771914 | Bonnie Louise Kell | Prevention Professional | 100 W H St, Butner, NC 27509-1605 | 2017-03-15 |
| 1619418217 | Jerusha Champ | Social Worker | 100 W H St, Butner, NC 27509-1605 | 2017-03-15 |
| 1063953677 | Patrick Regan | Counselor | 100 W H St, Butner, NC 27509-1605 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196980 | Kara Holden | Psychologist | Old Nc Hwy 75, Butner, NC 27509 | 2019-04-02 |
| 1891256459 | Brandon Anthony Jones | Nurse Practitioner | 3000 Old Hwy 75, Butner, NC 27509 | 2019-03-27 |
| 1003327180 | Jordan Tryhubenko | Pharmacist | Old N. Carolina Hwy 75, Butner, NC 27509 | 2017-10-17 |
| 1588182695 | Brittini Hanna Harbin | Social Worker | Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 | 2017-09-08 |
| 1306387568 | Danielle Harris | Counselor | 101 W H St, Butner, NC 27509 | 2017-03-20 |
| 1679014195 | Brittany Griffin | Social Worker | 100 H St, Butner, NC 27509 | 2017-03-16 |
| 1881946952 | Derick Phillip | Internal Medicine | Old Oxford Highway 75 Lsci, Federal Correctional Complex, Butner, NC 27509 | 2012-10-12 |
| 1518215268 | Karla Bowens | Physician Assistant | Fmc Butner Old Highway 75, Butner, NC 27509 | 2012-08-28 |
| 1639456262 | Federal Med Center - Butner | Pharmacy | Old Nc 75, Butner, NC 27509 | 2011-11-10 |
| 1659671220 | Brandon Fraser Wyche | Physician Assistant | Fci Butner Medium II Old Nc Hwy 75, Butner, NC 27509 | 2010-10-28 |
| Find all providers in zip 27509 | ||||
| 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 |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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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.