EASTER SEALS UCP NORTH CAROLINA & VIRGINA, INC.
NPI 1033271978
Community/Behavioral Health in Mount Airy, NC

Active since December 15, 2006
414 W LEBANON ST, MOUNT AIRY, NC 27030(336) 789-9492(336) 789-9587 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2021, Apr 21, 2017, Nov 20, 2015 (3 updates tracked since 2015).

About Easter Seals Ucp North Carolina & Virgina, Inc. NPPES

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINA, INC. (NPI 1033271978) is a healthcare organization registered as a community/behavioral health in Mount Airy, North Carolina and active in the NPI registry since December 2006. The organization lists Brett Beavers, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033271978
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINA, INC.
Location Address414 W LEBANON STMount Airy, NC 27030-2954
Mailing Address5171 Glenwood Ave, Suite 211Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486
Fax(336) 789-9587
Organization SubpartNo
Authorized OfficialBrett BeaversCredentialing Manager · (919) 210-7661
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1033271978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase ManagementTaxonomy 251B00000X
414 W LEBANON ST, Mount Airy, NC 27030

Other Identifiers 8

Medicaid8300674BNC
Medicaid8300674ANC
Medicaid8300674GNC
Medicaid8300674INC
Other018KJNC · Nc Bcbs
Medicaid8300674HNC
Medicaid8300674FNC
Medicaid8300674NC

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 20

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

Physician Assistant
414 W LEBANON ST
MOUNT AIRY, NC 27030
Registered Nurse
414 W LEBANON ST
MOUNT AIRY, NC 27030
Physician Assistant
414 W LEBANON ST
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
414 W LEBANON ST
MOUNT AIRY, NC 27030
Physical Therapist
414 W LEBANON ST
MOUNT AIRY, NC 27030
Counselor (Mental Health)
414 W LEBANON ST
MOUNT AIRY, NC 27030
Counselor (Professional)
414 W LEBANON ST
MOUNT AIRY, NC 27030
Counselor (Addiction (Substance Use Disorder))
414 W LEBANON ST
MOUNT AIRY, NC 27030

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 Easter Seals Ucp North Carolina & Virgina, Inc.'s NPI number?

The NPI number for Easter Seals Ucp North Carolina & Virgina, Inc. is 1033271978. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Easter Seals Ucp North Carolina & Virgina, Inc. located?

Easter Seals Ucp North Carolina & Virgina, Inc. is located at 414 W Lebanon St, Mount Airy, NC 27030. The listed phone number is (336) 789-9492.

What is Easter Seals Ucp North Carolina & Virgina, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Easter Seals Ucp North Carolina & Virgina, Inc. was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.