Organization Active NPI

North Carolina Mental Health Providers and Professionals

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1336912245
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH CAROLINA MENTAL HEALTH PROVIDERS AND PROFESSIONALS
Practice address
1235 East Blvd Ste E-4271
Charlotte, NC 28203-5870
Phone
(980) 343-9117
NPI assigned
Nov 2, 2023
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Dominique Letrice Nesbit, QPNPI 1609535608
Title
Chief Clinical Officer
Phone
(980) 209-0168

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1235 East Blvd Ste E-4271
Charlotte, NC 28203-5870

Mailing address

1235 East Blvd Ste E-4272
Charlotte, NC 28203-5870
Phone (980) 209-0168

National Provider Directory

National Provider Directory

Locations

1235 East Blvd
#1272
Charlotte, NC 28203

1235 East Blvd
Ste E1272
Charlotte, NC 28203

1235 East Blvd
Ste E1471
Charlotte, NC 28203
Phone (980) 300-0971

1235 East Blvd
Ste E4271
Charlotte, NC 28203
Phone (980) 343-9117

1235 East Blvd
Ste E4272
Charlotte, NC 28203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1336912245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD STE E-4272",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035870",
            "telephone_number": "980-209-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD STE E-4271",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035870",
            "telephone_number": "980-343-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA MENTAL HEALTH PROVIDERS AND PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "NESBIT",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "LETRICE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "980-209-0168",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 27, 2026; 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.