Mecklenburg County Area Mental Health Authority

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY

Practice address

3430 Wheatley Ave
Charlotte, NC 28205-7654

Phone

(704) 336-2227

Fax

(704) 353-0390

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Grayce Crockett

Title

Area Director

Phone

(704) 336-8638

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Case Management Other name

Tax ID family

Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

• Charlotte Cdsa

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1215270715
  NPD tax ID
• Meckelnburg County

  dba Mecklenburg County Health Dept - Northwest Campus

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1073893319
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Clinical Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1043352594
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - CAP Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1063554517
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept-Adult Outpatient Mental Health Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1063694222
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - Women's Health Mammography

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1134261688
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Dept - Northeast Campus

  • Clinic Pharmacy
  • Charlotte, NC
  • NPI 1164143996
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Childrens Developmental Services Agency

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1396814331
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - HIV Case Management

  • Case Management Agency
  • Charlotte, NC
  • NPI 1477694313
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Community Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1609946953
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County Health Department - MCH Case Management

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1619091709
  NPD tax ID
• Mecklenburg County

  dba Mecklenburg County CSS

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1619164514
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Ray Beatty, LCAS, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1013009117
  NPD (past)
• Tracy Lou Klucina, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1184761520
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538241351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111007",
            "telephone_number": "704-336-2023",
            "fax_number": "704-336-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WHEATLEY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057654",
            "telephone_number": "704-336-2227",
            "fax_number": "704-353-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "GRAYCE",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "704-336-8638"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300877B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Case Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mecklenburg County Area Mental Authority
• Mecklenburg County Area Mental Health
• Mecklenburg County Area Mental Health
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority
• Mecklenburg County Area Mental Health Authority

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.