DAYMARK RECOVERY SERVICES INC (NPI# 1720364250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720364250 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES INC |
| Practice Address |
101 Colvard St Unit 1 Jefferson NC 28640-9797 |
| Mailing Address |
284 Executive Park Dr Sutie 100 Concord NC 28025-1894 |
| Practice Telephone | 3362464542 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | MR. BILLY R WEST JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7049391100 |
| Authorized Official Credential | M.S.W.,L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3410027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1144790965 | Daymark Recovery Services Inc | Community/Behavioral Health | 110 W Walker Ave Fl 1, Asheboro, NC 27203-6760 | 2018-12-05 |
| 1073035804 | Daymark Recovery Services Inc | Community/Behavioral Health | 2986 Traphill Rd, Classrooms 179, 180, 181, Hays, NC 28635-9386 | 2017-07-13 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1134654601 | Daymark Recovery Services Inc | Counselor | 1104b S Main St, Lexington, NC 27292-3134 | 2017-04-21 |
| 1942759030 | Daymark Recovery Services Inc | Community/Behavioral Health | 190 Mulberry School Rd, Classrooms 139, 141, N Wilkesboro, NC 28659-9112 | 2016-09-29 |
| 1396291035 | Daymark Recovery Services Inc | Psychiatry & Neurology | 109 Goose Rock Ct, Holly Springs, NC 27540-7933 | 2016-09-01 |
| 1952759011 | Daymark Recovery Services Inc | Community/Behavioral Health | 1677 N Nc Highway 16, Classrooms 701,702,703, Wilkesboro, NC 28697-8324 | 2016-05-31 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1417321159 | Daymark Recovery Services Inc | Psychiatry & Neurology | 821 N Bragg Ave, Lookout Mountain, TN 37350-1003 | 2015-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES INC | 360 Beech St, Newland, NC 28657-9670 |
| Street Address |
101 COLVARD ST UNIT 1 |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500761 | Paige A Stephens | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2006-03-02 |
| 1194360925 | Willow Green Portela | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2019-11-15 |
| 1477034791 | Robin Jones | Clinical Nurse Specialist | 101 Colvard St, Jefferson, NC 28640 | 2018-08-24 |
| 1700329042 | Richard Allen Bare | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2016-11-18 |
| 1851847511 | Courtney Camp Benson | Counselor | 101 Colvard St, Jefferson, NC 28640 | 2016-08-31 |
| 1700156551 | Jennifer Archer Keely | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2012-01-11 |
| 1699042986 | Daymark Recovery Service Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-11-30 |
| 1669638599 | Ashley Wayne Harris | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2008-07-30 |
| 1194917823 | Jonna M. Mcgarity | Social Worker | 101 Colvard St, Unit 2, Jefferson, NC 28640-9797 | 2007-08-16 |
| 1659414449 | Marian J. Peters | Physician Assistant | 101 Colvard St, Jefferson, NC 28640-9797 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| 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 |
|---|---|---|---|---|
| 1063991032 | K Bare LLC | Community/Behavioral Health | 1031 S Main Street, Jefferson, WI 53549-1631 | 2018-08-10 |
| 1730557372 | Applied Wellness LLC | Community/Behavioral Health | 168 Waldoboro Rd, Jefferson, ME 04348-3922 | 2015-09-14 |
| 1487929188 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite A, Jefferson, NC 28640-8956 | 2012-03-13 |
| 1205112745 | Daymark Recovery Services Inc | Community/Behavioral Health | 162 Wm Jb Blevins Dr, Jefferson, NC 28640-9528 | 2011-10-28 |
| 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 |
| 1205219284 | Turning Point Services, Inc. | Community/Behavioral Health | 325 Court St, Jefferson, NC 28640-9696 | 2015-07-08 |
| 1265788541 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite B, Jefferson, NC 28640-8956 | 2012-07-24 |
| 1871860650 | Daymark Recovery .services Inc | Community/Behavioral Health | 221 W Main St, Jefferson, NC 28640-9723 | 2011-11-22 |
| 1679718324 | Capielano & Associates | Community/Behavioral Health | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2008-12-10 |
| Find all providers in JEFFERSON | ||||
Please comment or provide details below to improve the information on DAYMARK RECOVERY SERVICES 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.