Therapeutic Village LLC
NPI 1285452375 · Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
Therapeutic Village LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Raleigh, NC (NPI 1285452375).
Provider details
- NPI number
- 1285452375
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Keymian Crisp, Practice Manager(336) 510-0653
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Mailing address
Additional practice locations (4)
- 211 S Jarvis StGreenville, NC 27858-2052Phone: (336) 510-0653Fax: (336) 510-0926
- 2157 Raleigh RdHenderson, NC 27536-5761Phone: (336) 510-0653Fax: (336) 510-0926
- 203 W Nash StLouisburg, NC 27549-2527Phone: (336) 510-0653Fax: (336) 510-0926
- 221 1st Ave W Ste 200Seattle, WA 98119-4223Phone: (336) 510-0653Fax: (336) 510-9627
Registry dates
- Enumerated
- 2024-09-28
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Therapeutic Village LLC's NPI number?
- Therapeutic Village LLC's National Provider Identifier (NPI) is 1285452375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Therapeutic Village LLC?
- Therapeutic Village LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Therapeutic Village LLC located?
- Therapeutic Village LLC's practice location on file with NPPES is 8386 Six Forks Rd Ste 101, Raleigh, NC 27615-5088.
- What is Therapeutic Village LLC's phone number?
- The practice phone number listed in the NPPES registry for Therapeutic Village LLC is (336) 933-1204.
- Who is the authorized official for Therapeutic Village LLC?
- The authorized official listed on Therapeutic Village LLC's NPPES record is Keymian Crisp, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Therapeutic Village LLC's NPI active?
- Yes — Therapeutic Village LLC's NPI (1285452375) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.