NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

  • Community/Behavioral Health Agency
  • Carrboro, NC
National Provider Identifier
1578699542
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-068-107 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Practice address
410 N Greensboro St
Suite 120
Carrboro, NC 27510-1870
Phone
(919) 966-9803
Fax
(919) 966-9169
NPI assigned
Feb 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Hendree Jones, PHD
Title
Director
Phone
(919) 966-9803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-068-107 NC Primary

Addresses

Primary practice location

410 N Greensboro St
Suite 120
Carrboro, NC 27510-1870

Mailing address

410 N Greensboro St Ste 220
Carrboro, NC 27510-1870
Phone (919) 966-9803

Other identifiers 4

IdentifierTypeStateIssuer
8300698PMedicaidNC
8300698MedicaidNC
8300698BMedicaidNC
8300698GMedicaidNC

Other names 1

  • UNC Horizons Program Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330002274 NC Part B Supplier - Clinic/Group Practice 6507046844 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, NC; Raleigh, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2149615Unc Horizons410 N Greensboro St, Suite 220, Carrboro, NC 27510Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one
Part of
Center for Maternal Infant Health

Other organizations with this tax ID 29

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

View all 29

Locations

410 N Greensboro St
Ste 120
Carrboro, NC 27510

Practitioners & affiliated clinicians

Practitioners 1

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578699542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST STE 220",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST",
            "address_2": "SUITE 120",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803",
            "fax_number": "919-966-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HENDREE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-966-9803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-068-107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300698P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300698",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300698B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300698G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Horizons Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.