Jireh Providers L.L.C

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

JIREH PROVIDERS L.L.C

Practice address

344 Rolling Hill Rd Ste 201
Mooresville, NC 28117-6865

Phone

(704) 360-4292

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda Marie Burns, RBTNPI 1528769163

Title

Owner

Phone

(704) 360-4292

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: dr.wmburns@prestigecdc.co

Practitioners 1

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

• Wanda Marie Burns

  • Behavior Technician
  • Mooresville, NC
  • NPI 1528769163
  NPD Authorized official

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1386526150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "980-219-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "704-360-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH PROVIDERS L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-360-4292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.wmburns@prestigecdc.co",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "344 Rolling Hill Rd Ste 201",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281176865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.wmburns@prestigecdc.co",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "344 Rolling Hill Rd Ste 201",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281176865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay Vaughan Jayson, PA
• Lashonda Trinette Jean, RN
• Thomas Edward Jenike, M.D.
• Kristin Jenkins
• Melodee Jensen, LCMHC-A
• John E Latz MD PLLC
• Brittany Evelyn Johnson, C.P.
• Chantel Vantrice Johnson
• Emily Lynne Johnson
• John Anthony Johnson, D.M.D., M.D.

• Behavior Technician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.