INNOVATIVE BEHAVIORAL HEALTH SERVICES P.C.
NPI 1124367347
Clinic/Center - Multi-Specialty in Creedmoor, NC
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
Specialties & Licenses 4
Secondary Practice Location 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Innovative Behavioral Health Services P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Innovative Behavioral Health Services P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Innovative Behavioral Health Services P.C. enrolled in Medicare?
Yes. Innovative Behavioral Health Services P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Behavioral Health Services P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Innovative Behavioral Health Services P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (2) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Innovative Behavioral Health Services P.c. · NPI 1124367347
Multi-Specialty organization in Creedmoor, North Carolina. Organization record, active in the CMS NPPES registry since February 7, 2013.
## Identity
- **NPI:** 1124367347 (Entity type: Organization)
- **Enumerated:** February 7, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Benjamin Mastridge, PRESIDENT
## Practice location
- **Address:** 402 MAIN ST, Creedmoor, NC 27522
- **Phone:** (919) 529-2474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Mental Health Counselor (2), Clinical Social Worker (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124367347) · Data from the CMS NPPES public registry.