The Know Good Gift , LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE KNOW GOOD GIFT , LLC

Doing business as

Pedestals

Practice address

625 Harwyn Dr
Charlotte, NC 28215-2029

Phone

(980) 585-9179

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE KNOW GOOD GIFTAs reported in NPPES

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

Authorized official

Name

Casandra Fayelou Campbell, CPSSNPI 1730935438

Title

Executive Director

Phone

(980) 585-9179

Specialties & licenses 1

Addresses

Other names 1

• Pedestals Doing business as

Part of

The Know Good Gift LLC

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.

• Casandra Faye Campbell

  • Health & Wellness Coach
  • Charlotte, NC
  • NPI 1730935438
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1588436562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 HAMILTON OAKS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163768",
            "telephone_number": "980-585-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HARWYN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152029",
            "telephone_number": "980-585-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNOW GOOD GIFT , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KNOW GOOD GIFT",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "FAYELOU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-585-9179",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pedestals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.