NPIMap

Organization Active NPI

Lutheran Family Services in the Carolinas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
National Provider Identifier
1033556451
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Practice address
4822 Albemarle Rd
Suite 240
Charlotte, NC 28205-6668
Phone
(704) 940-3333
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirby Dale Nickerson
Title
Cfo
Phone
(704) 637-2870

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

4822 Albemarle Rd
Suite 240
Charlotte, NC 28205-6668

Mailing address

PO Box 2369
Salisbury, NC 28145-2369
Phone (704) 637-2870

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Counseling Cen29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1033556451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2369",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281452369",
            "telephone_number": "704-637-2870",
            "fax_number": "704-637-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD",
            "address_2": "SUITE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056668",
            "telephone_number": "704-940-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICES IN THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-637-2870"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.