Meridian Support Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11668 Issued in NC

Legal business name

MERIDIAN SUPPORT SERVICES LLC

Practice address

1880 Concord Ave Ste C
Monroe, NC 28110-3060

Phone

(910) 207-6421

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Anthony SuberNPI 1770964512

Title

Director

Phone

(704) 289-4084

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Suber

  • Professional Counselor
  • Monroe, NC
  • NPI 1770964512
  NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1043692809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CONCORD AVE STE C",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103060",
            "telephone_number": "910-207-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 CONCORD AVE STE C",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103060",
            "telephone_number": "910-207-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-289-4084"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11668",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043692809",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Michelle Meekins, MD
• Kruti Ruchik Mehta, PHARM.D.
• Urvashi Haresh Mehta, MD
• Lesly Guadalupe Melgoza-Colin
• Mary Harrington Melton, MSW, LCSW, LCAS, CSI
• Metrolina Eye Associates, PLLC
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• James Carlton Meyer, LMBT
• MG Transport

• Professional Counselor in Monroe, NC
• Providers in Monroe, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.