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EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
NPI 1164584009
Counselor - Mental Health in Fayetteville, NC

Active since December 15, 2006
351 WAGONER DR STE 160, FAYETTEVILLE, NC 28303(919) 861-1600(919) 861-1637 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI 1164584009) is a healthcare organization registered as a mental health in Fayetteville, North Carolina and active in the NPI registry since December 2006. The organization lists Richard P Edwards, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164584009
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Location Address351 WAGONER DR STE 160Fayetteville, NC 28303-4608
Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486
Phone(919) 861-1600
Fax(919) 861-1637
Organization SubpartNo
Authorized OfficialRichard P EdwardsVice President · (919) 783-8898
Enumeration DateDecember 15, 2006
Last NPPES UpdateJune 13, 2014
✔ NPI 1164584009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
351 WAGONER DR STE 160, Fayetteville, NC 28303
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Other Identifiers 3

Medicare ID-Type Unspecified2345163ANC · Opt Group
Other018KJNC · Nc Bcbs Group
Medicaid6005830NC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Easter Seals Ucp North Carolina & Virginia, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Easter Seals Ucp North Carolina & Virginia, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Clinical Social Worker25
Mental Health Counselor18
Nurse Practitioner13
Psychiatry10
Marriage and Family Therapist2
Addiction Medicine1
Clinical Psychologist1
Internal Medicine1

Nearest to this location (20)

See all 71
Kimberly Evans
Clinical Social Worker
NPI 1356972327
116 N COOL SPRING ST
Fayetteville, NC 28301
(910) 500-6606
✔ PECOS4.5 mi
Peter Nemr, LCMHC-A
Mental Health Counselor
NPI 1962199984
100 LOOP ST
Clinton, NC 28328
(910) 596-2221
✔ PECOS36 mi
Vinay Saranga, M.D.
Psychiatry
NPI 1144428673
1600 OLIVE CHAPEL RD STE 108A
Apex, NC 27502
(800) 732-9822
✔ PECOS✔ Accepts Medicare46 mi
Megan Bogart, PSYCH-MH NP -C
Nurse Practitioner
NPI 1568496883
130 EDINBURGH SOUTH DR SUITE 208
Cary, NC 27511
(919) 467-4745
✔ PECOS✔ Accepts Medicare46 mi
Alison Voyer
Clinical Social Worker
NPI 1447659321
3801 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 865-8824
✔ PECOS✔ Accepts Medicare53 mi
Alexia Maneschi, PSY.D.
Clinical Psychologist
NPI 1417000381
3801 LAKE BOONE TRL 300
Raleigh, NC 27607
(919) 784-9182
✔ PECOS53 mi
Daniel May, D.O., M.S.
Psychiatry
NPI 1295081388
4420 LAKE BOONE TRL
Raleigh, NC 27607
(919) 784-3100
✔ PECOS✔ Accepts Medicare53 mi
Sally Dixon, LCMHC-A
Mental Health Counselor
NPI 1841910957
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare56 mi
Katherine Glass, MSW, LCSWA
Clinical Social Worker
NPI 1609329390
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 787-6131
✔ PECOS56 mi
Samantha Legg, LCMHC
Mental Health Counselor
NPI 1194440313
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare56 mi
Ajay Patel, NP
Nurse Practitioner
NPI 1568830529
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare56 mi
Briana Talarico, LMFT
Marriage and Family Therapist
NPI 1619369477
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare56 mi
Joshua Pagano, D.O.
Psychiatry
NPI 1689995730
1401 W ASH ST
Goldsboro, NC 27530
(919) 947-8253
✔ PECOS57 mi
Melissa Cochran, NP
Nurse Practitioner
NPI 1104570886
6026 SIX FORKS RD
Raleigh, NC 27609
(919) 865-8710
✔ PECOS57 mi
Jozef Zelenak, MD
Psychiatry
NPI 1225393663
8300 HEALTH PARK STE 201
Raleigh, NC 27615
(919) 676-9699
✔ PECOS✔ Accepts Medicare59 mi
Jolina Bild, LCMHCA
Mental Health Counselor
NPI 1538772918
1503 WAYNE MEMORIAL DR STE E
Goldsboro, NC 27534
(919) 587-0001
✔ PECOS✔ Accepts Medicare59 mi
Amy Drozda, MSW, LCSW
Clinical Social Worker
NPI 1760515688
1503 WAYNE MEMORIAL DR SUITE E
Goldsboro, NC 27534
(919) 587-0001
✔ PECOS59 mi
Tereaka Powell, LCSW
Clinical Social Worker
NPI 1669064754
1503 WAYNE MEMORIAL DR
Goldsboro, NC 27534
(252) 286-4218
✔ PECOS59 mi
John Holter, M.D.
Internal Medicine
NPI 1417049412
2577 W 5TH ST
Greenville, NC 27834
(252) 830-3426
✔ PECOS94 mi
Johnny Williams, M.D.
Addiction Medicine
NPI 1972697746
203 GOVERNMENT CIR
Greenville, NC 27834
(252) 413-1637
✔ PECOS97 mi
See all 71 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 & Virginia, Inc.'s NPI number?

The NPI number for Easter Seals Ucp North Carolina & Virginia, Inc. is 1164584009. It was assigned to this organization in the NPPES registry on December 15, 2006.

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

Easter Seals Ucp North Carolina & Virginia, Inc. is located at 351 Wagoner Dr Ste 160, Fayetteville, NC 28303. The listed phone number is (919) 861-1600.

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

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

Is Easter Seals Ucp North Carolina & Virginia, Inc. enrolled in Medicare?

Yes. Easter Seals Ucp North Carolina & Virginia, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easter Seals Ucp North Carolina & Virginia, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 8 Medicare specialties reassign their Medicare billing to Easter Seals Ucp North Carolina & Virginia, Inc.. 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 Clinical Social Worker (25), Mental Health Counselor (18) and Nurse Practitioner (13). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Easter Seals Ucp North Carolina & Virginia, Inc. was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.