NPIMap

Organization Active NPI

Alexander Youth Network

  • Community/Behavioral Health Agency
  • Wisnton-Salem, NC
National Provider Identifier
1124131529
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALEXANDER YOUTH NETWORK
Practice address
7670 Northpoint CT.
Wisnton-Salem, NC 27106-3336
Phone
(336) 724-1412
Fax
(336) 724-1464
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Mr. Brennon D Graham
Title
Ceo
Phone
(704) 366-8712

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7670 Northpoint CT.
Wisnton-Salem, NC 27106-3336

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712

Other identifiers 4

IdentifierTypeStateIssuer
6005550MedicaidNC
8300679MedicaidNC
8703028MedicaidNC
3410012MedicaidNC

Other names 1

  • CABHA Other name

National Provider Directory

National Provider Directory
Tax ID family
Alexander Youth Network41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1124131529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630",
            "telephone_number": "704-366-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 NORTHPOINT CT.",
            "city": "WISNTON-SALEM",
            "state": "NC",
            "postal_code": "271063336",
            "telephone_number": "336-724-1412",
            "fax_number": "336-724-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER YOUTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRENNON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-366-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005550",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300679",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wisnton-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.