Epiphany Family Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EPIPHANY FAMILY SERVICES, LLC

Practice address

102 Church St NE
Concord, NC 28025-4733

Phone

(704) 536-6853

Fax

(704) 445-4582

NPI assigned

Oct 2, 2010

Organization subpart

No

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

Authorized official

Name

Katy Millner-Cathcart, MHA

Title

Operations Officer

Phone

(704) 536-6853

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 7

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

• Michele Adriane Lewis

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1700280567
  Medicare reassignment Care Compare group NPD
• Howard K Mason, MD

  • Psychiatry Physician
  • Shelby, NC
  • NPI 1396707568
  Medicare reassignment Care Compare group NPD
• Felicia Patterson Washington, DNP-C,FNP-C,PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Indian Trail, NC
  • NPI 1003199928
  Medicare reassignment Care Compare group NPD
• Julie Parker Thompson, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
  • NPI 1912282674
  NPD
• Sherrie Drew, LCAS, LCSWA

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1740730993

  Single Specialty

  NPD (past)
• Stephanie Jackson Grier, MA, LCAS, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Gastonia, NC
  • NPI 1023551512
  NPD (past)
• Jasmine Mone'T Lamkin

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1346974490
  NPD (past)

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1255640645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FARMINGDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125551",
            "telephone_number": "704-536-6853",
            "fax_number": "704-536-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254733",
            "telephone_number": "704-536-6853",
            "fax_number": "704-445-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Julius St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281504052",
            "country_code": "US",
            "telephone_number": "704-481-7001",
            "fax_number": "704-445-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Executive Center Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128870",
            "country_code": "US",
            "telephone_number": "704-536-6853 x218",
            "fax_number": "704-536-6045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIPHANY FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MILLNER-CATHCART",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "704-536-6853",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Engle
• Enhancing the Quality of Life LLC
• Ensure Home Care of Virginia LLC (Ensure Home Care of Virginia)
• Celia B Entwistle, MD
• Rachel Giverny Entwistle, PA
• Angel Sherriece Epps
• Robert Alexander Erdin III, MD
• Merlin Erickson, DDS
• Seyedmohammadreza Esmaeilnejadganji, MD
• Angela Espin, LCSW

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.