Active NPI
The Foundry
- Peer Specialist
- Matthews, NC
National Provider Identifier
1417865684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- THE FOUNDRY
- Practice address
- 10809 Parrish St Apt 215
Matthews, NC 28105-8939 - Phone
- (267) 721-0926
- NPI assigned
- Aug 31, 2026
- Last updated
- Aug 31, 2026
- 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
- Ms. Dianne F Thomas, ADEBONOJO
- Title
- Foundry
- Phone
- (267) 721-0926
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
10809 Parrish St Apt 215
Matthews, NC 28105-8939
Mailing address
2217 Matthews Township Pkwy Ste D
Matthews, NC 28105-4819
Phone (267) 721-0926
National Provider Directory
National Provider DirectoryPractitioners & 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": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1417865684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 MATTHEWS TOWNSHIP PKWY STE D",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054819",
"telephone_number": "267-721-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10809 PARRISH ST APT 215",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058939",
"telephone_number": "267-721-0926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FOUNDRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "FOUNDRY",
"authorized_official_telephone_number": "267-721-0926",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ADEBONOJO"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
- The Balanced Body Center
- The Bloom Therapy, PLLC
- The Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)
- The Custom Source Inc
- The Foundry
- The Healing Journey Counseling PLLC
- The Lemonade Center, LLC
- The Lifeskills Counseling & Consulting Group
- The Listening SLP, LLC
- The Mandalay Group 1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.