Creative Opportunities for Personal Empowerment, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE OPPORTUNITIES FOR PERSONAL EMPOWERMENT, LLC

Doing business as

C.O.P.E

Practice address

455 Concord Pkwy N Unit 5649
Concord, NC 28027-6749

Phone

(704) 247-7111

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Graham, MA, LCMHC, LCASANPI 1548746605

Title

Chief Clinical Officer

Phone

(704) 247-7111

Specialties & licenses 5

Addresses

Other names 1

• C.O.P.E Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Tiffany Michelle Graham, MA, LCMHC-A, LCAS-A

  • Counselor
  • Charlotte, NC
  • NPI 1548746605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1558177659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5649",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271510",
            "telephone_number": "704-247-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CONCORD PKWY N UNIT 5649",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276749",
            "telephone_number": "704-247-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OPPORTUNITIES FOR PERSONAL EMPOWERMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "704-247-7111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCMHC, LCASA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.O.P.E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rae Crawford
• John David Crawley, MD
• Susan B Crawley, PHD
• Crden Rose Holding Company
• Creative Health Initiatives LTD
• Sheyenne Crespo
• Stacia Lynn Crick-Brommel, LCSW
• Greta H. Crisco, NP
• Hughes Tate Crisp, Jr., BA
• Clara Maria Croce, MD

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, 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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.