OrganizationActive
Community Support Specialists, LLC
NPI 1992997167 · Mental Health Counselor · Wilmington, NC
Provider details
- NPI number
- 1992997167
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Annie Kenion, Director/Qualified Professional(910) 763-3644
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1316 S 16th St
Wilmington, NC 28401-6422
Phone: (910) 763-3644
Fax: (910) 763-3634
Street-level locationGet directions
Mailing address
1316 S 16th St
Wilmington, NC 28401-6422
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2010-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.