Active NPI
A Place 4 Me, LLC
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- A PLACE 4 ME, LLC
- Practice address
- 3117 Whiting Ave Ste 125
Charlotte, NC 28205-1648 - Phone
- (980) 243-5595
- Fax
- (980) 245-5595
- NPI assigned
- Jul 28, 2020
- 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
- Kelly Lachelle Smith, LCSW
- Title
- Owner
- Phone
- (980) 451-6112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
3117 Whiting Ave Ste 125
Charlotte, NC 28205-1648
Mailing address
7410 Niccoline LN
Charlotte, NC 28214-8079
Phone (980) 451-6112
Other practice location 1
59 Winecoff Ave NW Ste A
Concord, NC 28025-4431
Phone (980) 243-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- A Place 4 Me LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1306630603
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1831490903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781913600000",
"number": "1306455126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 NICCOLINE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282148079",
"telephone_number": "980-451-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 WHITING AVE STE 125",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051648",
"telephone_number": "980-243-5595",
"fax_number": "980-245-5595"
}
],
"practiceLocations": [
{
"address_1": "59 Winecoff Ave NW Ste A",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280254431",
"country_code": "US",
"telephone_number": "980-243-5595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "A PLACE 4 ME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "LACHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-451-6112",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jun 20, 2026; 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.