NPIMap

Organization Active NPI

Crandell's Enterprises Inc

  • Mental Health Counselor
  • Wendell, NC
National Provider Identifier
1255752085
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL 092-882 Issued in NC
Legal business name
CRANDELL'S ENTERPRISES INC
Practice address
7112 Outrigger Dr
Wendell, NC 27591-7240
Phone
(919) 626-0079
NPI assigned
Dec 20, 2013
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Miss Sandra Mayo
Title
Coo/Cfo
Phone
(919) 790-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHL 092-882 NC Primary

Addresses

Primary practice location

7112 Outrigger Dr
Wendell, NC 27591-7240

Mailing address

5312 Six Forks Rd
Suite 301
Raleigh, NC 27609-4458

Other identifiers 1

IdentifierTypeStateIssuer
7804626MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Crandell's Enterprise's Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1255752085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 OUTRIGGER DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917240",
            "telephone_number": "919-626-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDELL'S ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "919-790-7663",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL 092-882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.