Active NPI
Cedric Dean Holdings Inc.
Doing business as Cedric Dean Homes
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1497473086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CEDRIC DEAN HOLDINGS INC.
- Doing business as
- Cedric Dean Homes
Peer Support NC - Practice address
- 2001 Catherine Simmons Ave
Charlotte, NC 28216-4677 - Phone
- (704) 492-1533
- NPI assigned
- Aug 18, 2022
- Last updated
- Aug 13, 2024
- 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. Cedric Dean, CPSS
- Title
- Behavioral Health Practitioner
- Phone
- (704) 492-5509
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | ||
| Preferred Provider Organization | 305R00000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
2001 Catherine Simmons Ave
Charlotte, NC 28216-4677
Mailing address
5502 McChesney Dr
Charlotte, NC 28269-7188
Phone (704) 492-5509
Other practice location 1
1712 S Lafayette St
Shelby, NC 28152-7151
Phone (704) 492-5099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40411529 | Other | NC | ATYPICAL PROVIDER |
| 1497473086 | Medicaid | NC |
Other names 2
- Cedric Dean Homes
- Peer Support NC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.peersupportnc.com | Health Information Exchange (HIE) | |
| Other URL | www.peersupportnc.com | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Cedric Dean Holdings Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Peer Support NC
- Public Health or Welfare Agency
- Charlotte, NC
- NPI 1841021227
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Peer Support NC
- Public Health or Welfare Agency
- Charlotte, NC
- NPI 1841021227
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Home Modifications Contractor
- Shelby, NC
- NPI 1356063622
-
- Prevention Professional
- Charlotte, NC
- NPI 1427868504
-
- Peer Specialist
- Gastonia, NC
- NPI 1972327120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1497473086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5502 MCCHESNEY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697188",
"telephone_number": "704-492-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CATHERINE SIMMONS AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164677",
"telephone_number": "704-492-1533"
}
],
"practiceLocations": [
{
"address_1": "1712 S Lafayette St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281527151",
"country_code": "US",
"telephone_number": "704-492-5099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CEDRIC DEAN HOLDINGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-18",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "CEDRIC",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH PRACTITIONER",
"authorized_official_telephone_number": "704-492-5509",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPSS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATYPICAL PROVIDER",
"identifier": "40411529",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497473086",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.peersupportnc.com",
"affiliation": "N",
"endpointDescription": "Alcohol and/or substance abuse structured screening and brief intervention services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Alcohol and/or substance abuse and intervention services",
"address_1": "1712 S Lafayette St",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281527151",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.peersupportnc.com",
"affiliation": "N",
"endpointDescription": "The virtual intensive behavioral health services is offered virtually and in-person and varies in frequency based on SAMHSA - Substance Abuse and Mental Health Services Administration recommendations. Our intensive behavioral health program is an ideal option as a follow-up to residential treatment, also known as inpatient care, or a day treatment program.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "behavioral health",
"address_1": "1712 S Lafayette St",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281527151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Cedric Dean Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peer Support NC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
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- Angelica Mariel Cedeno Robles, LCSW
- Cedric Dean Holdings, Inc. (Peer Support NC)
- David M Cefaly Jr., PT
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- Ceicare Therapeutic Development & Health Resource Management (CeiCare Therapeutic Resources)
- Cel O.D. PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.