Active NPI
Peacful Alternative Resources,Inc
- Counselor
- Charlotte, NC
National Provider Identifier
1386846756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1663
- Legal business name
- PEACFUL ALTERNATIVE RESOURCES,INC
- Practice address
- 10925 David Taylor Dr Ste 100
Charlotte, NC 28262-1044 - Phone
- (704) 944-3100
- Fax
- (704) 944-3101
- NPI assigned
- Jun 5, 2007
- 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
- Mr. Ronnie Lorenzo Robinson Jr., BA,QMHP,QDDP,QSAC
- Title
- Owner
- Phone
- (704) 944-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1663 | NC | Primary |
Addresses
Primary practice location
10925 David Taylor Dr Ste 100
Charlotte, NC 28262-1044
Mailing address
10925 David Taylor Dr Ste 100
Charlotte, NC 28262-1044
Phone (704) 944-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107028 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Par Home Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1992031405
Locations
10925 David Taylor Dr
Ste 100
Charlotte, NC 28262
Phone (704) 944-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386846756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10925 DAVID TAYLOR DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621044",
"telephone_number": "704-944-3100",
"fax_number": "704-944-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10925 DAVID TAYLOR DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621044",
"telephone_number": "704-944-3100",
"fax_number": "704-944-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACFUL ALTERNATIVE RESOURCES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "RONNIE",
"authorized_official_middle_name": "LORENZO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-944-3100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "BA,QMHP,QDDP,QSAC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "NC",
"license": "1663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107028",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Peaceful Aura Behavioral Health Services PLLC
- Peaceful Minds Counseling and Consulting, PLLC.
- Peaceful Place Christian Counseling
- Peaceful Places, Inc.
- Peaceful Solution Counseling Services, Inc.
- Peach State Medical Practice, PC (Kindbody of NC Medical Practice, PC)
- Peachy Nutrition, LLC
- Crystal L Peacock
- Hunter Lewis Peacock, DPT
- Marquis Peacock, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.