OrganizationActive
Easter Seals Ucp North Carolina & Virginia, Inc.
NPI 1164584009 · Mental Health Counselor · Fayetteville, NC
Provider details
- NPI number
- 1164584009
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Richard Edwards, Vice President(919) 783-8898
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
351 Wagoner Dr Ste 160
Fayetteville, NC 28303-4608
Phone: (919) 861-1600
Fax: (919) 861-1637
Street-level locationGet directions
Mailing address
5171 Glenwood Ave
Raleigh, NC 27612-3266
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2014-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.