CNC ACCESS INC (NPI# 1720221377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720221377 |
| Entity Type | Organization |
| Organization Name | CNC ACCESS INC |
| Practice Address |
825 Gum Branch Rd Suite 136 Jacksonville NC 28540-6298 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8008660860 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300057K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013150408 | Cnc Access Inc | Community/Behavioral Health | 1030 7 Lakes Dr, West End, NC 27376-9081 | 2009-04-14 |
| 1467695064 | Cnc Access Inc | Community/Behavioral Health | 40 Colonial Sq, Sylva, NC 28779-5147 | 2009-04-13 |
| 1346483906 | Cnc Access Inc | Community/Behavioral Health | 552 Newell St Nw Ste B, Concord, NC 28025-4517 | 2009-04-13 |
| 1225271059 | Cnc Access Inc | Community/Behavioral Health | 1200 Navajo Drive, Raleigh, NC 27609 | 2009-04-09 |
| 1942443809 | Cnc Access Inc | Community/Behavioral Health | 1328 Patton Ave Ste C, Asheville, NC 28806-2649 | 2009-04-08 |
| 1891938874 | Cnc Access Inc | Community/Behavioral Health | 830 Tyvola Rd, Suite 104, Charlotte, NC 28217-3595 | 2009-04-07 |
| 1659514636 | Cnc Access Inc | Community/Behavioral Health | 110 Stockton St, Statesville, NC 28677-5253 | 2009-04-07 |
| 1235372210 | Cnc Access Inc | Community/Behavioral Health | 127 N Powell St, Suite 102, Forest City, NC 28043-3190 | 2009-04-07 |
| 1578706545 | Cnc Access Inc | Community/Behavioral Health | 206 Woodland Dr, Wilmington, NC 28403-4531 | 2009-04-07 |
| 1174766133 | Cnc Access Inc | Community/Behavioral Health | 312 E College St, Warsaw, NC 28398-2010 | 2009-04-07 |
| Street Address |
825 GUM BRANCH RD SUITE 136 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469126 | John Andraos Shalhoub | Counselor | 825 Gum Branch Rd, Ste 122, Jacksonville, NC 28540-6298 | 2005-12-28 |
| 1649559667 | Leeanna Rice | Social Worker | 825 Gum Branch Rd, Suite 117, Jacksonville, NC 28540-6298 | 2011-08-08 |
| 1841501368 | Cnc Access, Inc. | Case Management | 825 Gum Branch Rd, Ste 133, Jacksonville, NC 28540-6298 | 2010-06-30 |
| 1972747806 | Cnc/access, Inc. | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-22 |
| 1558504100 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1194968743 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1649413295 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-13 |
| 1104069194 | Cnc Access Inc | Community/Behavioral Health | 825 Gum Branch Rd, Suite 133, Jacksonville, NC 28540-6298 | 2009-04-07 |
| 1184806283 | Professional Physical Therapy & Rehabilitation, LLC | Clinic/Center | 825 Gum Branch Rd, Suite 127, Jacksonville, NC 28540-6298 | 2007-11-29 |
| 1235325358 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 825 Gum Branch Rd, Suite 112, Jacksonville, NC 28540-6298 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| 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 |
|---|---|---|---|---|
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1063043420 | Elephant Clinic Ltd. | Community/Behavioral Health | 8 Unf Dr # 221, Jacksonville, FL 32224-7699 | 2020-02-03 |
| 1679056857 | Inspire To Rise Inc. | Community/Behavioral Health | 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 | 2018-09-13 |
| 1558863787 | Positive Development, LLC | Community/Behavioral Health | 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 | 2018-03-04 |
| 1073012555 | Pivotal Step Services, Pllc | Community/Behavioral Health | 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 | 2018-02-09 |
| 1518473594 | Werp LLC | Community/Behavioral Health | 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 | 2017-12-28 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1598282667 | B.e.h. Elderly Care LLC | Community/Behavioral Health | 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 | 2017-08-29 |
| 1427598689 | Family Farms of Northeast Florida | Community/Behavioral Health | 16844 Ethel Rd, Jacksonville, FL 32218-1108 | 2017-03-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on CNC ACCESS 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.