Active NPI
Lead 1 Teach 1
- Mental Health Counselor
- Shelby, NC
National Provider Identifier
1316211626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2012
- 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
- Lakendra Brannon
- Title
- Co-Owner
- Phone
- (864) 266-8726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.