Organization Active NPI

Lead 1 Teach 1

  • Mental Health Counselor
  • Shelby, NC
National Provider Identifier
1316211626
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEAD 1 TEACH 1
Practice address
810 Dixon Blvd
Shelby, NC 28150
Phone
(864) 441-4948
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Lakendra Brannon
Title
Co-Owner
Phone
(864) 266-8726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

810 Dixon Blvd
Shelby, NC 28150

Mailing address

201 Brockman HGTS
Union, SC 29379

Other names 1

  • Lead 1 Teach 1 Enrichment Program Other name

National Provider Directory

National Provider Directory

Locations

810 W Dixon Blvd
Shelby, NC 28152
Phone (864) 441-4948

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1316211626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROCKMAN HGTS",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "864-441-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD 1 TEACH 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "LAKENDRA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "864-266-8726"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lead 1 Teach 1 Enrichment Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.