Carolina Outreach, LLC is a Community/Behavioral Health Agency (organization) practicing in Fayetteville, North Carolina. The National Provider Identifier (NPI) is #1134684392, which was assigned on February 1, 2019, and the registration record was last updated on May 20, 2019. The practitioner's main practice location is at 324 Person St, Fayetteville, NC 28301-5736; the contact telephone number is 9104380939. The primary taxonomy of Carolina Outreach, LLC is Community/Behavioral Health Agency (251S00000X). The authorized official for Carolina Outreach, LLC is Robert Anthony Davis (Hr Manager).
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
| NPI | 1134684392 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Provider Name | CAROLINA OUTREACH, LLC |
| Practice Address |
324 Person St Fayetteville NC 28301-5736 |
| Practice Telephone | 9104380939 |
| Mailing Address |
2670 Durham Chapel Hill Blvd Durham NC 27707-2829 |
| Mailing Telephone | 9192519001 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-05-20 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | CAROLINA OUTREACH, LLC |
| Official Name | ROBERT ANTHONY DAVIS |
| Official Title | HR MANAGER |
| Telephone | 9192519001 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Carolina Outreach, LLC | 1001a Hardee Rd, Kinston, NC 28504-3323 | Community/Behavioral Health Agency | 2013-08-13 |
| Carolina Outreach, LLC | 18 Regent Park Blvd Ste A, Asheville, NC 28806-3727 | Clinical Social Worker | 2008-10-28 |
| Carolina Outreach, LLC | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | Community/Behavioral Health Agency | 2015-08-03 |
| Carolina Outreach, LLC | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | Clinical Medical Laboratory | 2014-12-05 |
| Carolina Outreach, LLC | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | Community/Behavioral Health Agency | 2015-07-08 |
| Carolina Outreach, LLC | 139 N Center St, Goldsboro, NC 27530-3620 | Community/Behavioral Health Agency | 2013-08-13 |
| Carolina Outreach, LLC | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | Community/Behavioral Health Agency | 2013-10-29 |
| Carolina Outreach, LLC | 935 Shotwell Rd, Clayton, NC 27520-5597 | Mental Health Counselor | 2014-03-10 |
| Carolina Outreach, LLC | 480 Hillsboro St, Suite 130, Pittsboro, NC 27312-9497 | Community/Behavioral Health Agency | 2009-12-08 |
| Carolina Outreach, LLC | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | Clinical Social Worker | 2006-08-30 |
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| Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| Classification | Community/Behavioral Health |
| Grouping | Agencies |
| Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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, 1/1/2021: modified definition] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Happy Hearts LLC | 101 Cowardin Ave Ste 202, Richmond, VA 23224-2078 | Community/Behavioral Health Agency | 2024-05-09 |
| Meagan Alexander LLC | 295 Waverly Dr, Elgin, IL 60120-4676 | Community/Behavioral Health Agency | 2024-05-10 |
| Elevational Minds | 3700 Odonnell St Ste 200, Baltimore, MD 21224-5269 | Community/Behavioral Health Agency | 2024-05-10 |
| Elizabeth Roesner | 10200 Grand Ave, Franklin Park, IL 60131-3139 | Community/Behavioral Health Agency | 2024-05-10 |
| Artpark Commercial Services, LLC | 8343 Norcroft Dr, Charlotte, NC 28269-1304 | Community/Behavioral Health Agency | 2024-05-09 |
| Wellness Centre LLC | 11260 Chester Rd Ste 230, Cincinnati, OH 45246-4050 | Community/Behavioral Health Agency | 2024-05-09 |
| Growing Community Services | 1712 6th Ave Ste 100, Tacoma, WA 98405-3300 | Community/Behavioral Health Agency | 2024-05-09 |
| Domestic Violence Resource Center | 1735 Vassar St, Reno, NV 89502-2720 | Community/Behavioral Health Agency | 2024-05-09 |
| Keyria Adem | 7515 62nd Ct N, Brooklyn Park, MN 55428-2824 | Community/Behavioral Health Agency | 2024-05-09 |
| Bright Health Community Corp | 3990 W Flagler St Ste 500, Coral Gables, FL 33134-1644 | Community/Behavioral Health Agency | 2024-05-10 |
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| Street Address |
324 PERSON ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5736 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tashayla Washington | 324 Person St, Fayetteville, NC 28301 | Addiction (Substance Use Disorder) Counselor | 2023-06-26 |
| James Walters | 324 Person St, Fayetteville, NC 28301-5736 | Clinical Social Worker | 2021-07-28 |
| Alexis Loretta Lett | 324 Person St, Fayetteville, NC 28301-5736 | Clinical Social Worker | 2022-11-21 |
| Quentera Jackson | 324 Person St, Fayetteville, NC 28301-5736 | Addiction (Substance Use Disorder) Counselor | 2021-08-16 |
| Jazminne Katherine Bailey | 324 Person St, Fayetteville, NC 28301-5736 | Clinical Social Worker | 2023-06-07 |
| Katherine Herring | 324 Person St, Fayetteville, NC 28301-5736 | Counselor | 2022-05-19 |
| Andrea Ann-Marie Bound | 324 Person St, Fayetteville, NC 28301-5736 | Addiction (Substance Use Disorder) Counselor | 2021-06-29 |
| Shwana Mccrimmon | 324 Person St, Fayetteville, NC 28301-5736 | Clinical Social Worker | 2020-12-31 |
| Pamela Diaz Rodriguez | 324 Person St, Fayetteville, NC 28301-5736 | Professional Counselor | 2021-10-12 |
| Tonetta Everett | 324 Person St, Fayetteville, NC 28301-5736 | Addiction (Substance Use Disorder) Counselor | 2022-08-18 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Catherine Stevenson Nwogalanya | 1103 Hillsboro St., Fayetteville, NC 28301 | Community Health Worker | 2019-01-24 |
| The Janice Mae Hawkins Foundation · S & S Spoonridge #2 | 3359 Gables Dr., Fayetteville, NC 28301 | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2014-04-16 |
| Walgreen Co · Rite Aid | 108 Rowan St, Fayetteville, NC 28301 | Durable Medical Equipment & Medical Supplies | 2017-09-12 |
| Barbara Jean Chapman-Nellis | 1235 Ramsey Street, Fayetteville, NC 28301 | Pediatric Nurse Practitioner | 2009-11-20 |
| Right Foundation Inc | 100 Hay Street, Suite 802, Fayetteville, NC 28301 | Case Management Agency | 2009-09-01 |
| Tracy Roberts · Tracy Bates | Fayetteville Va Medical Center - Nutrition/Food Service, 2300 Ramsey Street, Fayetteville, NC 28301 | Registered Dietitian | 2010-09-28 |
| Jenna Michelle Odneal | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | Behavior Technician | 2020-10-02 |
| True Care Home Care Services | 223 Person Street, Fayetteville, NC 28301 | Home Health Agency | 2010-02-23 |
| Forrest Stieg | 2817 Rock Merritt Avenue, Fort Liberty, Nc 28310, Fort Liberty, NC 28301 | Physical Therapist | 2020-12-17 |
| Jessica Shellman | 408 Person St. Ste 103, Fayetteville, NC 28301 | Addiction (Substance Use Disorder) Counselor | 2020-09-14 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Outreach 12 Counseling Centers of Texas | 2208 Primrose Ave, Ste H-A, Mcallen, TX 78504-4155 | Substance Use Disorder Rehabilitation Clinic/Center | 2005-06-28 |
| Carolina Outreach | 5108 Reagan Dr, Charlotte, NC 28206-3103 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2022-06-10 |
| Outreach Development Corporation · Outreach Project | 11711 Myrtle Avenue, Richmond Hill, NY 11418-1751 | Addiction (Substance Use Disorder) Counselor | 2006-09-05 |
| Heart Hugs Outreach Services Inc. · Addiction Outreach | 344 Salinas St Ste 105h, Salinas, CA 93901-2726 | Voluntary or Charitable Agency | 2009-12-23 |
| Outreach Recovery II, LLC · Outreach Dimensions | 196 Thomas Johnson Dr Ste 201, Frederick, MD 21702-4397 | Addiction (Substance Use Disorder) Counselor | 2019-11-13 |
| Carolina Outreach Referral and Resource Services | 309 W Vernon Ave, Kinston, NC 28501-3863 | Community/Behavioral Health Agency | 2009-10-16 |
| North Carolina Outreach Home Care, LLC | 24 N Main St, Burnsville, NC 28714-2925 | Community/Behavioral Health Agency | 2015-05-29 |
| East Carolina Outreach,Inc · East Caolina Outreach Home Health Care | 1528 Evans St Ste C3, Greenville, NC 27834-5312 | Nursing Care Agency | 2010-03-30 |
| Murphys Outreach Community Developmental Service · Outreach Home Health Services | 565 Andover Rd, Fayetteville, NC 28311-2163 | Home Health Agency | 2008-06-09 |
| North Carolina Outreach Home Care, LLC | 3431 Asheville Hwy, Pisgah Forest, NC 28768-8771 | Community/Behavioral Health Agency | 2015-05-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |