Organization Active NPI

Stride

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1366060170
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRIDE
Practice address
2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone
(704) 614-5834
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Ms. Jennifer Y Harrington, LCSWNPI 1942622907
Title
Founder
Phone
(704) 614-5834

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Mailing address

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (704) 614-5834

Other practice location 1

14054 Singleleaf Lane
Charlotte, NC 28278
Phone (704) 614-5834

National Provider Directory

National Provider Directory

Locations

13000 S Tryon St
Ste F
Charlotte, NC 28278
Phone (512) 293-1516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1366060170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-614-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-614-5834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14054 Singleleaf Lane",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28278",
            "country_code": "US",
            "telephone_number": "704-614-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-614-5834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Nov 10, 2020; 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.