INNOVATIVE BEHAVIORAL HEALTH SERVICES P.C.
NPI 1124367347
Clinic/Center - Multi-Specialty in Creedmoor, NC

Q: What is Innovative Behavioral Health Services P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since February 07, 2013CLIA 34D2081696 · Waiver

402 MAIN ST, CREEDMOOR, NC 27522(919) 529-2474 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, Jun 15, 2021 (2 updates tracked since 2021).

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About Innovative Behavioral Health Services P.c. NPPES

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

INNOVATIVE BEHAVIORAL HEALTH SERVICES P.C. (NPI 1124367347) is a healthcare organization registered as a multi-specialty in Creedmoor, North Carolina and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through May 9, 2027, maintains a secondary practice location in Cary, and lists Benjamin Joseph Mastridge, President, as its authorized official.

NPPES Registry Identity

NPI1124367347

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameINNOVATIVE BEHAVIORAL HEALTH SERVICES P.C.

Location Address402 MAIN STCreedmoor, NC 27522

Mailing AddressPo Box 400Creedmoor, NC 27522-0400 · (919) 529-2474

Phone(919) 529-2474

Organization SubpartNo

Authorized OfficialBenjamin Joseph MastridgePresident · (919) 529-2474

Enumeration DateFebruary 7, 2013

Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1124367347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

402 MAIN ST, Creedmoor, NC 27522

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Secondary Practice Location 1

Location 11616 Evans Rd Ste 203Cary, NC 27513-9653 · Phone (919) 234-1321 · Fax (919) 234-1327

Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2081696

Innovative Behavioral Health Services, PC · Creedmoor, NC

Active · expires May 9, 2027

CLIA Number34D2081696

Laboratory TypePhysician Office

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorBenjamin Mastridge

Laboratory Phone(919) 529-2474

Laboratory LocationInnovative Behavioral Health Services, PC402 North Main Street, Creedmoor, NC 27522

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FREEDOM HOUSE RECOVERY CENTER, INC.

Community/Behavioral Health

402 MAIN ST
CREEDMOOR, NC 27522

Granville County (919) 529-2474

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 Innovative Behavioral Health Services P.C.'s NPI number?

The NPI number for Innovative Behavioral Health Services P.C. is 1124367347. It was assigned to this organization in the NPPES registry on February 7, 2013.

Where is Innovative Behavioral Health Services P.C. located?

Innovative Behavioral Health Services P.C. is located at 402 Main St, Creedmoor, NC 27522. The listed phone number is (919) 529-2474.

What is Innovative Behavioral Health Services P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Innovative Behavioral Health Services P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2081696) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Behavioral Health Services P.C. accept?

Health plans from Blue Cross and Blue Shield of NC list Innovative Behavioral Health Services P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Behavioral Health Services P.C. was last updated on February 23, 2022. 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.