Concordia Support Services, LLC
NPI 1417045188 · Community/Behavioral Health Agency · Fayetteville, NC
Concordia Support Services, LLC is a Community/Behavioral Health Agency organization in Fayetteville, NC (NPI 1417045188).
Provider details
- NPI number
- 1417045188
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Meredith Nickelberry, Vice President(910) 826-8253
Specialties & taxonomies
Agencies
Agencies
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense MHL-067-156 (NC)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense MHL-067154 (NC)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense MHL-047-070 (NC)
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2009-06-25
Frequently asked questions
- What is Concordia Support Services, LLC's NPI number?
- Concordia Support Services, LLC's National Provider Identifier (NPI) is 1417045188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concordia Support Services, LLC?
- Concordia Support Services, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Concordia Support Services, LLC located?
- Concordia Support Services, LLC's practice location on file with NPPES is 2315 Bloom Avenue, Fayetteville, NC 28304-6165.
- What is Concordia Support Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Concordia Support Services, LLC is (910) 826-8253.
- Who is the authorized official for Concordia Support Services, LLC?
- The authorized official listed on Concordia Support Services, LLC's NPPES record is Meredith Nickelberry, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concordia Support Services, LLC's NPI active?
- Yes — Concordia Support Services, LLC's NPI (1417045188) is active in the NPPES registry as of the last update on 2009-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.