CENTERSTONE OF TENNESSE INC.
NPI 1609482439
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fayetteville, NC
About Centerstone Of Tennesse Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERSTONE OF TENNESSE INC. (NPI 1609482439) is a healthcare organization registered as a mental health (including community mental health center) in Fayetteville, North Carolina and active in the NPI registry since September 2020. The organization lists Karen Lynette Keene, Security Officer, It Technology Sup, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Centerstone Of Tennesse Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Centerstone Of Tennesse Inc., which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (19)
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 Centerstone Of Tennesse Inc.'s NPI number?
The NPI number for Centerstone Of Tennesse Inc. is 1609482439. It was assigned to this organization in the NPPES registry on September 17, 2020. The provider is also known as Centerstone Fayettville NC Clinic.
Where is Centerstone Of Tennesse Inc. located?
Centerstone Of Tennesse Inc. is located at 3505 Village Dr, Fayetteville, NC 28304. The listed phone number is (615) 463-6669.
What is Centerstone Of Tennesse Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Centerstone Of Tennesse Inc. enrolled in Medicare?
Yes. Centerstone Of Tennesse Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerstone Of Tennesse Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Centerstone Of Tennesse 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 (16), Mental Health Counselor (2) and Nurse Practitioner (1). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Centerstone Of Tennesse Inc. accept?
Health plans from Blue Cross and Blue Shield of NC list Centerstone Of Tennesse 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 Centerstone Of Tennesse Inc. was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Centerstone Of Tennesse Inc. · NPI 1609482439
Mental Health (Including Community Mental Health Center) organization in Fayetteville, North Carolina. Organization record, active in the CMS NPPES registry since September 17, 2020.
## Identity
- **NPI:** 1609482439 (Entity type: Organization)
- **Enumerated:** September 17, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Centerstone Fayettville NC Clinic (Other Name)
- **Organization subpart:** Yes (part of Centerstone Of Tennesse Inc.)
- **Authorized official:** Karen Keene, SECURITY OFFICER, IT TECHNOLOGY SUP
## Practice location
- **Address:** 3505 VILLAGE DR, Fayetteville, NC 28304-4513
- **Phone:** (615) 463-6669 · **Fax:** (615) 653-6506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (16), Mental Health Counselor (2), Nurse Practitioner (1); 13 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1609482439) · Data from the CMS NPPES public registry.