Active NPI
Repay, Inc.
- Psychologist
- Morganton, NC
National Provider Identifier
1194945709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2549
- Legal business name
- REPAY, INC.
- Practice address
- 420 W Fleming Dr
Suite C
Morganton, NC 28655-3966 - Phone
- (828) 438-6218
- Fax
- (828) 439-2340
- NPI assigned
- Apr 26, 2007
- 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
- Melissa Renee Lewis
- Title
- Executive Director
- Phone
- (828) 438-6218
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2549 | NC | Primary |
| Psychologist | 103T00000X | 0370 | NC | |
| Clinical Psychologist | 103TC0700X | 0370 | NC | |
| Clinical Social Worker | 1041C0700X | C006909 | NC | |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
420 W Fleming Dr
Suite C
Morganton, NC 28655-3966
Mailing address
PO Box 2423
Morganton, NC 28680-2423
Phone (828) 438-6218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006021 | Medicaid | NC | |
| 017X7 | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Patterson St
Morganton, NC 28655
Phone (828) 438-6218
420 W Fleming Dr
Ste C
Morganton, NC 28655
Phone (828) 438-6218
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Morganton, NC
- NPI 1649477324
-
- Professional Counselor
- Morganton, NC
- NPI 1598509218
-
- Professional Counselor
- Morganton, NC
- NPI 1174386734
-
- Professional Counselor
- Morganton, NC
- NPI 1619530383
-
- Psychologist
- Morganton, NC
- NPI 1730227901
-
- Social Worker
- Morganton, NC
- NPI 1730458613
-
- Professional Counselor
- Morganton, NC
- NPI 1902233927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1194945709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2423",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286802423",
"telephone_number": "828-438-6218",
"fax_number": "828-439-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W FLEMING DR",
"address_2": "SUITE C",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553966",
"telephone_number": "828-438-6218",
"fax_number": "828-439-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPAY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "828-438-6218"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "2549",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NC",
"license": "0370",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "0370",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006909",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006021",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "017X7",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.