Active NPI
Ignite Union County LLC
- Community/Behavioral Health Agency
- Waxhaw, NC
National Provider Identifier
1467387589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- IGNITE UNION COUNTY LLC
- Practice address
- 3512 S Providence Rd Ste B
Waxhaw, NC 28173-8350 - Phone
- (704) 256-1401
- NPI assigned
- Jun 17, 2026
- Last updated
- Jun 17, 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
- Mrs. Jennifer Jennifer, MS, OTR/L
- Title
- Part Owner
- Phone
- (917) 445-0988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3512 S Providence Rd Ste B
Waxhaw, NC 28173-8350
Mailing address
2036 Hamil Ridge Dr
Waxhaw, NC 28173-6023
Phone (917) 445-0988
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Occupational Therapist
- Matthews, NC
- NPI 1710044524
-
- Occupational Therapist
- Matthews, NC
- NPI 1699433383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1467387589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 HAMIL RIDGE DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736023",
"telephone_number": "917-445-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 S PROVIDENCE RD STE B",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738350",
"telephone_number": "704-256-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IGNITE UNION COUNTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-17",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "JENNIFER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "917-445-0988",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.