Organization Active NPI

Ignite Union County LLC

  • Community/Behavioral Health Agency
  • Waxhaw, NC
National Provider Identifier
1467387589
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.