NPIMap

Organization Active NPI

United Family Services

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1245293315
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
UNITED FAMILY SERVICES
Practice address
601 E 5TH St
Ste 400
Charlotte, NC 28202-3031
Phone
(704) 332-9034
Fax
(704) 373-1604
NPI assigned
Apr 10, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mr. Glenn E Dahlen
Title
VP Finance
Phone
(704) 367-2711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

601 E 5TH St
Ste 400
Charlotte, NC 28202-3031

Mailing address

601 E 5TH St
Ste 400
Charlotte, NC 28202-3031
Phone (704) 332-9034

Other identifiers 2

IdentifierTypeStateIssuer
0133POtherNCBCBS
6005755MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
United Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

601 E 5th St
Ste 400
Charlotte, NC 28202
Phone (704) 332-9034

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1245293315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 5TH ST",
            "address_2": "STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023031",
            "telephone_number": "704-332-9034",
            "fax_number": "704-373-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 5TH ST",
            "address_2": "STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023031",
            "telephone_number": "704-332-9034",
            "fax_number": "704-373-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "704-367-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0133P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.