Organization Active NPI

New Leaf Adolescent Care

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1568085306
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW LEAF ADOLESCENT CARE
Practice address
210 E Arrowhead Dr
Charlotte, NC 28213-6427
Phone
(704) 679-0320
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Aliceia DuffNPI 1487270708
Title
Therapist
Phone
(704) 632-5368

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

210 E Arrowhead Dr
Charlotte, NC 28213-6427

Mailing address

210 E Arrowhead Dr
Charlotte, NC 28213-6427

National Provider Directory

National Provider Directory

Locations

210 E Arrowhead Dr
Charlotte, NC 28213
Phone (704) 679-0320

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1568085306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E ARROWHEAD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E ARROWHEAD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136427",
            "telephone_number": "704-679-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF ADOLESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "ALICEIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-632-5368"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.