Continuum Care Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONTINUUM CARE SERVICES, INC.

Practice address

10150 Mallard Creek Rd Ste 101
Charlotte, NC 28262-4507

Phone

(704) 510-2662

Fax

(704) 510-2061

NPI assigned

Sep 5, 2012

Organization subpart

No

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Continuum Care Services, Inc.

  • Community/Behavioral Health Agency
  • Rockingham, NC
  • NPI 1013105709

  O20100205000424

  Same enrollment
• Continuum Care Services, Inc.

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1164665790

  O20100205000424

  Same enrollment

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

• Vivian Audrey Clark, LCSW,LISW-CP

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1811229362
  NPD
• Eric Chaiken, LPC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1043551161
  NPD (past)
• Sophia Danielle Fuller

  • Clinical Social Worker
  • Concord, NC
  • NPI 1447124151
  NPD (past)
• Melissa A Locklear, LCSW

  • Clinical Social Worker
  • Saint Pauls, NC
  • NPI 1134466311
  NPD (past)
• Malti Praful Mehta, MD

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1265659965
  NPD (past)
• Esther Mendez, MS, LCMHC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1225430457
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Continuum Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Continuum Care Services, Inc.

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1164665790
  NPD tax ID

Locations

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

Authorized official

Name

Ebonique Morman

Title

Administrative Director

Phone

(704) 665-7499

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1194074286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6331",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271523",
            "telephone_number": "704-510-2662",
            "fax_number": "888-539-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 MALLARD CREEK RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624507",
            "telephone_number": "704-510-2662",
            "fax_number": "704-510-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7160 Weddington Rd NW Ste 144",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280273676",
            "country_code": "US",
            "telephone_number": "980-777-1652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Chestnut St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014054",
            "country_code": "US",
            "telephone_number": "336-748-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTINUUM CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "EBONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "704-665-7499"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2347873",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charlotte, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.