COMMUNITY CARE SUPPORT SERVICES INC
NPI 1396609681
Counselor - Mental Health in Dacula, GA

Active since December 11, 2025
2365 TAYLOR POINTE WAY, DACULA, GA 30019(910) 779-7800 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Community Care Support Services Inc NPPES

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

COMMUNITY CARE SUPPORT SERVICES INC (NPI 1396609681) is a healthcare organization registered as a mental health in Dacula, Georgia and active in the NPI registry since December 2025. The organization lists Brandon L Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1396609681
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOMMUNITY CARE SUPPORT SERVICES INC
Location Address2365 TAYLOR POINTE WAYDacula, GA 30019-6930
Mailing Address517 S Norwood StWallace, NC 28466-1619 · (910) 779-7800
Organization SubpartNo
Authorized OfficialBrandon L HallOwner · (910) 779-7800
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1396609681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2365 TAYLOR POINTE WAY, Dacula, GA 30019

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Care Support Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Care Support Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1346872249
413 W BEL AIR AVE STE 103
Aberdeen, MD 21001
(443) 934-1810
✔ PECOS574 mi

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 Community Care Support Services Inc's NPI number?

The NPI number for Community Care Support Services Inc is 1396609681. It was assigned to this organization in the NPPES registry on December 11, 2025.

Where is Community Care Support Services Inc located?

Community Care Support Services Inc is located at 2365 Taylor Pointe Way, Dacula, GA 30019. The listed phone number is (910) 779-7800.

What is Community Care Support Services Inc's specialty?

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

Is Community Care Support Services Inc enrolled in Medicare?

Yes. Community Care Support Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Care Support Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Community Care Support Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Community Care Support Services Inc was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.