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TRIAD BEHAVIORAL RESOURCES PC
NPI 1336292556
Family Medicine in Wilmington, NC

Active since January 19, 2007CLIA 34D2182701 · Certificate of Compliance
12 N 5TH AVE, WILMINGTON, NC 28401(910) 765-1003(910) 765-1004 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2023, Sep 14, 2022, Mar 29, 2021 (3 updates tracked since 2021).

About Triad Behavioral Resources Pc NPPES

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

TRIAD BEHAVIORAL RESOURCES PC (NPI 1336292556) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 14, 2027 and lists David Bolton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336292556
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIAD BEHAVIORAL RESOURCES PC
Location Address12 N 5TH AVEWilmington, NC 28401-4537
Mailing Address12 N 5th AveWilmington, NC 28401-4537 · (910) 765-1003 · Fax (910) 765-1004
Phone(910) 765-1003
Fax(910) 765-1004
Organization SubpartNo
Authorized OfficialDavid BoltonCeo · (910) 765-1003
Enumeration DateJanuary 19, 2007
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1336292556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHL041686 (NC)
12 N 5TH AVE, Wilmington, NC 28401
Open in Google Maps ↗

Other Identifiers 2

Medicaid6005083NC
Other017U3NC · Blue Cross Blue Shield

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.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)

Triad Behavioral Resources Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Triad Behavioral Resources PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

David Bolton, M.ED., LPC
Mental Health Counselor
NPI 1427101617
12 N 5TH AVE
Wilmington, NC 28401
(910) 765-1003
✔ PECOS✔ Accepts MedicareSame address
Miranda Slater, LCMHC, LCAS
Mental Health Counselor
NPI 1245616259
4006 OLEANDER DR STE 204
Wilmington, NC 28403
(910) 367-5089
✔ PECOS✔ Accepts Medicare3.1 mi
Nicolee Knowles, LCSW,LCAS
Clinical Social Worker
NPI 1386110716
4014 OLEANDER DR STE 103
Wilmington, NC 28403
(910) 338-9197
✔ PECOS✔ Accepts Medicare3.2 mi
Tameki Mongo, FNP
Nurse Practitioner
NPI 1770319691
6626 GORDON RD STE C
Wilmington, NC 28411
(910) 765-1003
✔ PECOS✔ Accepts Medicare6.4 mi
Leetisha Dunia, PMHNP-BC
Nurse Practitioner
NPI 1235730078
538 WOOD POINT DR
Lillington, NC 27546
(910) 893-9234
✔ PECOS✔ Accepts Medicare94 mi
Tyra Seymour
Nurse Practitioner
NPI 1326823170
1218 COLTON CREEK RD
Knightdale, NC 27545
(413) 342-7004
✔ PECOS✔ Accepts Medicare111 mi
Nicole Harrison, PMHNP-BC
Nurse Practitioner
NPI 1003463134
1708 TRAWICK RD STE 115
Raleigh, NC 27604
(919) 841-2465
✔ PECOS114 mi
Princess Minter, PMHNP
Nurse Practitioner
NPI 1073270500
727 W HARGETT ST STE 103
Raleigh, NC 27603
(919) 264-4615
✔ PECOS✔ Accepts Medicare114 mi
David Owens, MD
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS373 mi

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 Compliance 34D2182701

Triad Behavioral Resources, PC · Greensboro, NC
Active · expires Dec 14, 2027
CLIA Number34D2182701
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorRobert S. Foster
Laboratory Phone(910) 765-1003
Laboratory LocationTriad Behavioral Resources, PC1050 Revolution Mill Dr, Suite 7 Studio A, Greensboro, NC 27405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Triad Behavioral Resources PC's NPI number?

The NPI number for Triad Behavioral Resources PC is 1336292556. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Triad Behavioral Resources PC located?

Triad Behavioral Resources PC is located at 12 N 5th Ave, Wilmington, NC 28401. The listed phone number is (910) 765-1003.

What is Triad Behavioral Resources PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Triad Behavioral Resources PC enrolled in Medicare?

Yes. Triad Behavioral Resources PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triad Behavioral Resources PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Triad Behavioral Resources PC. 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 (5), Mental Health Counselor (2) and Clinical Social Worker (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Triad Behavioral Resources PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2182701) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Triad Behavioral Resources PC accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Triad Behavioral Resources PC 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 Triad Behavioral Resources PC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.