CMS-1500 Box 24J / 33a • NPI
1811066145
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
131 W EDINBOROUGH AVE, RAEFORD, NC, 28376-2825
✓ 9-Digit EDI 837 ZIP+4 (28376-2825)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811066145 (ALIDA S MASON LPC LCSW PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811066145 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALIDA S MASON LPC LCSW PLLC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 131 W EDINBOROUGH AVE, RAEFORD, NC, 28376-2825 |
| Practice Telephone / Fax | Tel: (910) 848-0700 | Fax: (910) 848-0222 |
| Administrative Mailing Address | PO BOX 35863, FAYETTEVILLE, NC, 28303-0863 |
| Enumeration & Last Sync | Enumerated: 2006-11-08 | CMS Record Updated: 2008-04-10 |
| Authorized Official | JASON TOWNSEND (BILLING MANAGER) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALIDA S MASON LPC LCSW PLLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: NC | License: 5199 | Primary: Secondary |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: NC | License: 243 | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: NC | License: 1347 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: NC | License: 1738 | Primary: Secondary |
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: 36397 | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: NC | License: 3183 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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