FAITH SPRINGS ETERNAL (FASE), PLLC
NPI 1528696796
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fayetteville, NC

NPI Status: Active since April 01, 2020

Contact Information

910 HOPE MILLS RD
FAYETTEVILLE, NC
ZIP 28304
Phone: (919) 888-6397

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About FAITH SPRINGS ETERNAL (FASE), PLLC

This page provides the complete NPI Profile along with additional information for Faith Springs Eternal (fase), Pllc, a provider established in Fayetteville, North Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1528696796 assigned on April 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Imani Nia Johnson (Owner)

NPI
1528696796
Provider Name
FAITH SPRINGS ETERNAL (FASE), PLLC
Entity Type
Organization
Location Address
910 HOPE MILLS RD FAYETTEVILLE, NC 28304
Location Phone
(919) 888-6397
Mailing Address
910 HOPE MILLS RD FAYETTEVILLE, NC 28304
Mailing Phone
(919) 888-6397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2020
Last Update Date
07-01-2021
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Location Map

Secondary Locations

  • 2537 Gray Goose Loop
    Fayetteville, NC 28306
    (678) 612-6699

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IMANI NIA JOHNSON

Authorized Official Title
OWNER
Authorized Official Phone
(678) 612-6699

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1073938254MEDICAID (05)NC 

Reviews for FAITH SPRINGS ETERNAL (FASE), PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528696796
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254812912718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 2 + 9 + 1 + 2 + 7 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1528696796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366730152 SYLVESTER CANCER LPC
Individual
Counselor (Professional)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 818-3315
1942751763SPAULDING SOLUTIONS COUNSELING SERVICES, PLLC
Organization
Counselor (Mental Health)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 425-2321
1356751044 ELVIRA YANEZ LCSW
Individual
Social Worker910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 684-3595
1356961544 GREGORY KILPATRICK II
Individual
Home Health Aide910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 600-8209
1447885348WOFFORD AND WILLIAMS INC
Organization
In Home Supportive Care910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 568-5319
1346767928 DENOTRA JOHNSON WINSTON LCMHC, LCASA
Individual
Counselor (Professional)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 827-6611
1588305205HERA AND HYGIEIA WELLNESS ASSOCIATES PLLC
Organization
Social Worker (Clinical)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 302-8565
1962127035SUNFLOWERS WELLNESS THERAPEUTIC SERVICES PLLC
Organization
Social Worker (Clinical)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 759-5771
1467295907SILVERS HOME CARE LLC
Organization
In Home Supportive Care910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 364-2603
1689416380MRS. ASHLEY ANGELICA CHAVIS
Individual
Counselor (Addiction (Substance Use Disorder))910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 225-8015
1609618040MRS. JENNIFER LOVING KEREKES PSC, LCMHC-A
Individual
Counselor (Mental Health)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 222-8015
1104435635BRIDGE TO CARE HOME CARE LLC
Organization
Home Health910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 709-0167
1871481317MR. LARRY DARNELL CARSWELL FLORENCE LCSWA
Individual
Social Worker (Clinical)910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 222-8015
1316821788LOVE-TO-LOVE HOME CARE LLC
Organization
In Home Supportive Care910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
(910) 224-3943

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528696796, enumerated in the NPI registry as an "organization" on April 01, 2020

The provider is located at 910 Hope Mills Rd Fayetteville, Nc 28304 and the phone number is (919) 888-6397

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 01, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.