Innovative Care Network - Mental Health Clinic in Wake Forest, NC

Innovative Care Network is a mental health clinic (Behavior Technician) in Wake Forest, North Carolina. The current practice location for Innovative Care Network is 120 Capcom Ave Ste 102c, Wake Forest, North Carolina. For appointments, you can reach them via phone at (215) 279-1509. The mailing address for Innovative Care Network is 120 Capcom Ave Ste 102c, Wake Forest, North Carolina and phone number is (215) 279-1509.

Innovative Care Network is licensed to practice in * (Not Available) (license number ) and its NPI number is 1780140798. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (215) 279-1509.

Contact Information

Innovative Care Network
120 Capcom Ave Ste 102c
Wake Forest
NC 27587-6537
(215) 279-1509
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameInnovative Care Network
SpecialityBehavior Technician
Location120 Capcom Ave Ste 102c, Wake Forest, North Carolina
Authorized Official Name and PositionKianna L Chapman (CEO/OWNER)
Authorized Official Contact2152791509
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Innovative Care Network
120 Capcom Ave Ste 102c
Wake Forest
NC 27587-6537

Ph: (215) 279-1509
Innovative Care Network
120 Capcom Ave Ste 102c
Wake Forest
NC 27587-6537

Ph: (215) 279-1509

NPI Details:

NPI Number1780140798
Provider Enumeration Date02/14/2019
Last Update Date01/17/2024
Certification Date01/17/2024

Medical Identifiers

Medical identifiers for Innovative Care Network such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780140798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
106S00000XBehavior Technician (* (Not Available))Primary
172A00000XDriver (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
372600000XAdult Companion (* (Not Available))Secondary
373H00000XDay Training/habilitation Specialist (* (Not Available))Secondary

Reviews and Comments

Behavior Technician in Wake Forest, NC

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Kristen Porter, Lpc, Pllc
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Medicare: Not Enrolled in Medicare
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Phone: 919-376-5330    Fax: 919-400-4821
Innovative Therapy And Consulting, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587
Phone: 919-554-1231    Fax: 919-554-2406

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.