OCTOBER ROAD INC
NPI 1376389940
Community/Behavioral Health in Jacksonville, NC

Q: What is October Road Inc's NPI number?

The NPI number for October Road Inc is 1376389940. It was assigned to this organization in the NPPES registry on July 3, 2024.

Q: What is October Road Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for October Road Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 03, 2024CLIA 34D2337946 · Waiver

255 WILLIAMSBURG PKWY, JACKSONVILLE, NC 28546(828) 606-9013 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2025, Jul 3, 2024 (2 updates tracked since 2024).

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About October Road Inc NPPES

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

OCTOBER ROAD INC (NPI 1376389940) is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Jason Hendricks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376389940

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameOCTOBER ROAD INC

Location Address255 WILLIAMSBURG PKWYJacksonville, NC 28546-6856

Mailing AddressPo Box 967Duncansville, PA 16635-0967 · (814) 940-0407

Phone(828) 606-9013

Organization SubpartNo

Authorized OfficialJason HendricksCeo · (814) 940-0407

Enumeration DateJuly 3, 2024

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1376389940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

255 WILLIAMSBURG PKWY, Jacksonville, NC 28546

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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 34D2337946

October Road Dba Pyramid Jacksonville Outpatient · Jacksonville, NC

Active · expires Feb 2, 2028

CLIA Number34D2337946

Laboratory TypeIndependent

Certificate Effective DateFebruary 3, 2026

Certificate Expiration DateFebruary 2, 2028

Laboratory DirectorAllen Glipin

Laboratory Phone(252) 221-1049

Laboratory LocationOctober Road Dba Pyramid Jacksonville Outpatient255 Williamsburg Pkwy Suite A, Jacksonville, NC 28546

CLIA data matches this NPI record on: Address Name

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

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 October Road Inc's NPI number?

The NPI number for October Road Inc is 1376389940. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is October Road Inc located?

October Road Inc is located at 255 Williamsburg Pkwy, Jacksonville, NC 28546. The listed phone number is (828) 606-9013.

What is October Road Inc's specialty?

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

Does October Road Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2337946) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does October Road Inc accept?

Health plans from Blue Cross and Blue Shield of NC list October Road Inc 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 October Road Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.