Individual provider Active NPI

Jack Upchurch

  • Behavior Technician
  • Cary, NC
National Provider Identifier
1295597649
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7980 Chapel Hill Rd Ste 135
Cary, NC 27513-4649
Phone
(919) 377-2395
NPI assigned
Jan 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7980 Chapel Hill Rd Ste 135
Cary, NC 27513-4649

Mailing address

107 Lark LN
Durham, NC 27712-2430
Phone (919) 698-6698

Other practice location 1

7334 Chapel Hill Rd
Raleigh, NC 27607-5099
Phone (919) 377-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Learn and Leap Autism Center, LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

7980 Chapel Hill Rd
Ste 135
Cary, NC 27513
Phone (919) 377-2395

7334 Chapel Hill Rd
Raleigh, NC 27607
Phone (919) 377-2395

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1295597649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LARK LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122430",
            "telephone_number": "919-698-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 CHAPEL HILL RD STE 135",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134649",
            "telephone_number": "919-377-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7334 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075099",
            "country_code": "US",
            "telephone_number": "919-377-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.