Cedric Dean, CPP

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

2021877201 Issued in NC

Practice address

2001 Catherine Simmons Ave
Charlotte, NC 28216-4677

Phone

(704) 492-1533

NPI assigned

Aug 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Mr. Cedric Dean Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedric Dean Holdings Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1497473086

  Home Modifications

  NPD Authorized official
• Cedric Dean Holdings, Inc.

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1841021227

  Public Health Or Welfare

  NPD Authorized official
• Peer Support NC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby, NC
  • NPI 1346934288
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1114647013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 MCCHESNEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697188",
            "telephone_number": "704-492-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CATHERINE SIMMONS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164677",
            "telephone_number": "704-492-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281527151",
            "country_code": "US",
            "telephone_number": "704-492-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CEDRIC",
        "credential": "CPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NC",
            "license": "2021877201",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "2021877201",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "2021877201",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "2021877201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1497473086",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832424267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "000005049292",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.peersupportnc.om",
            "affiliation": "Y",
            "endpointDescription": "I offer a wide range of services for individuals, couples, groups and families ranging from traditional therapy and counseling sessions to interventions.  Every detail of my practice is carefully considered with your health and wellness in mind.  My practice is a multidisciplinary approach which includes expertise in substance use and mental health.",
            "affiliationName": "Cedric Dean Holdings Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1712 S Lafayette St",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281527151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.peersupportnc.com",
            "affiliation": "N",
            "endpointDescription": "Cedric Dean  is a Prevention Professional who works in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the Prevention Professional is to reduce the risk of relapse, injury, or re-injury of the patient. Cedric Dean works in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 Catherine Simmons Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282164677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CEDRIC",
            "last_name": "DEAN",
            "prefix": "MR.",
            "credential": "CPP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Carver Deal
• Stephen Edgar Deal, M.D.
• Tricia Lyn Deal, CRNA
• Allyson Dean, PHARM.D.
• Anne Dean, AUD
• Elizabeth A Dean, MD
• J-Nelle Dean, LCSWA
• Jennifer Helms Dean, MA, LCMHC-S
• Karim Rocio Dean
• Rachel M Dean, MPH, RDN, LDN, IBCLC

• All providers in Charlotte, NC
• Prevention Professional in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.