Organization Active NPI

Unique Blessings Non Profit Organization

  • Case Manager/Care Coordinator
  • Charlotte, NC
National Provider Identifier
1609464585
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Sep 6, 2024

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
251B0000XMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.