Active NPI
Umbrella of Hope Inc
- Community/Behavioral Health Agency
- Gastonia, NC
National Provider Identifier
1164773586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 7563
- Legal business name
- UMBRELLA OF HOPE INC
- Practice address
- 1558 Union Rd Ste F
Gastonia, NC 28054-2215 - Phone
- (704) 747-6545
- Fax
- (704) 671-4036
- NPI assigned
- Sep 25, 2012
- Last updated
- Apr 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Precious Tanyanika Lajoy Jackson, MA,LPC
- Title
- Ceo
- Phone
- (704) 747-6545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 7563 | NC | Primary |
Addresses
Primary practice location
1558 Union Rd Ste F
Gastonia, NC 28054-2215
Mailing address
1558 Union Rd Ste F
Gastonia, NC 28054-2215
Phone (704) 747-6545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104514 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1558 Union Rd
Ste F
Gastonia, NC 28054
Phone (704) 671-2609
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Gastonia, NC
- NPI 1295051084
-
- Mental Health Counselor
- Gastonia, NC
- NPI 1255801817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524009600000",
"number": "1164773586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1558 UNION RD STE F",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542215",
"telephone_number": "704-747-6545",
"fax_number": "704-671-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 UNION RD STE F",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542215",
"telephone_number": "704-747-6545",
"fax_number": "704-671-4036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMBRELLA OF HOPE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2018-04-18",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "PRECIOUS",
"authorized_official_middle_name": "TANYANIKA LAJOY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-747-6545",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA,LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "7563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104514",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.