Active NPI
Unique Blessings Non Profit Organization
- Case Manager/Care Coordinator
- Charlotte, NC
National Provider Identifier
1609464585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- UNIQUE BLESSINGS NON PROFIT ORGANIZATION
- Practice address
- 2428 Freedom Dr
Charlotte, NC 28208-4045 - Phone
- (704) 907-0617
- NPI assigned
- Jan 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shantelle Evans
- Title
- Founder
- Phone
- (704) 907-0617
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2428 Freedom Dr
Charlotte, NC 28208-4045
Mailing address
6839 Wagon Oak Rd
Charlotte, NC 28212-8580
Phone (704) 907-0617
Other practice location 1
2919 Reid Ave
Charlotte, NC 28208-6811
Phone (704) 907-0617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251B0000X | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2428 Freedom Dr
Charlotte, NC 28208
Phone (704) 907-0617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1609464585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 WAGON OAK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128580",
"telephone_number": "704-907-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 FREEDOM DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282084045",
"telephone_number": "704-907-0617"
}
],
"practiceLocations": [
{
"address_1": "2919 Reid Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282086811",
"country_code": "US",
"telephone_number": "704-907-0617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UNIQUE BLESSINGS NON PROFIT ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SHANTELLE",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "704-907-0617",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251B0000X",
"state": "NC"
}
],
"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 Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.