PINE VILLAGE TREATMENT SERVICES INC
NPI 1013182286
Counselor - Mental Health in Clayton, NC

Q: What is Pine Village Treatment Services Inc's NPI number?

The NPI number for Pine Village Treatment Services Inc is 1013182286. It was assigned to this organization in the NPPES registry on April 28, 2008.

Q: What is Pine Village Treatment Services Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 28, 2008

106 S LOMBARD ST, CLAYTON, NC 27520(919) 550-7645(919) 550-7754 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pine Village Treatment Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE VILLAGE TREATMENT SERVICES INC (NPI 1013182286) is a healthcare organization registered as a mental health in Clayton, North Carolina and active in the NPI registry since April 2008. The organization lists Chris A Derepentigny, Owner, as its authorized official.

NPPES Registry Identity

NPI1013182286

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NamePINE VILLAGE TREATMENT SERVICES INC

Location Address106 S LOMBARD STClayton, NC 27520-2527

Mailing Address106 S Lombard StClayton, NC 27520-2527 · (919) 550-7645 · Fax (919) 550-7754

Phone(919) 550-7645

Fax(919) 550-7754

Organization SubpartNo

Authorized OfficialChris A DerepentignyOwner · (910) 864-7004

Enumeration DateApril 28, 2008

Last NPPES UpdateOctober 1, 2008

✔ NPI 1013182286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

106 S LOMBARD ST, Clayton, NC 27520

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Other Identifiers 1

Medicaid6006309NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINE VILLAGE TREATMENT SERVICES, INC.

Community/Behavioral Health

106 S LOMBARD ST
CLAYTON, NC 27520

Johnston County (919) 550-7645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Village Treatment Services Inc's NPI number?

The NPI number for Pine Village Treatment Services Inc is 1013182286. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Pine Village Treatment Services Inc located?

Pine Village Treatment Services Inc is located at 106 S Lombard St, Clayton, NC 27520. The listed phone number is (919) 550-7645.

What is Pine Village Treatment Services Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pine Village Treatment Services Inc was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.