NPIMap

Organization Active NPI

McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1457538720
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-013-101 Issued in NC
Legal business name
MCLEOD CENTERS FOR WELLBEING
Practice address
300 Copperfield Blvd NE Ste 105
Concord, NC 28025-2460
Phone
(704) 782-3131
Fax
(704) 782-3133
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Marsha B Childers
Title
Director of Revenue Cycle Managemen
Phone
(704) 332-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-013-101 NC Primary

Addresses

Primary practice location

300 Copperfield Blvd NE Ste 105
Concord, NC 28025-2460

Mailing address

500 Archdale Dr
Charlotte, NC 28217-4217
Phone (704) 332-9001

Other names 1

  • McLeod Centers for Wellbeing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 4, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002030 NC Part B Supplier - Opioid Treatment Program (Otp) 4284996901 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marion, NC; Statesville, NC; Monroe, NC; Lenoir, NC; Hickory, NC; Charlotte, NC; Concord, NC; Gastonia, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2079362McLeod Centers for Wellbeing300 Copperfield Blvd, Suite 105 & 106, Concord, NC 28025Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
McLeod Addictive Disease9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2208 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 289-9869

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1457538720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCHDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174217",
            "telephone_number": "704-332-9001",
            "fax_number": "704-332-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COPPERFIELD BLVD NE STE 105",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252460",
            "telephone_number": "704-782-3131",
            "fax_number": "704-782-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD CENTERS FOR WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "704-332-9001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-013-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Centers for Wellbeing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.