NPIMap

Organization Active NPI

Mecklenburg County

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1609946953
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MECKLENBURG COUNTY
Practice address
1210 N Tryon St
Charlotte, NC 28206-3256
Phone
(704) 816-0260
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mrs. Chinita Craighead-Davis, LCMHC, LCAS, CCSNPI 1568568970
Title
Substance Use Manager
Phone
(704) 816-0260

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1210 N Tryon St
Charlotte, NC 28206-3256

Mailing address

3205 Freedom Dr Ste 2000
Charlotte, NC 28208-3486
Phone (704) 816-0260

Other identifiers 1

IdentifierTypeStateIssuer
6005609MedicaidNC

Other names 1

  • Mecklenburg County Community Support Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

3205 Freedom Dr
Ste 2000
Charlotte, NC 28208
Phone (704) 816-0260

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1609946953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 FREEDOM DR STE 2000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083486",
            "telephone_number": "704-816-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063256",
            "telephone_number": "704-816-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "CRAIGHEAD-DAVIS",
        "authorized_official_first_name": "CHINITA",
        "authorized_official_title_or_position": "SUBSTANCE USE MANAGER",
        "authorized_official_telephone_number": "704-816-0260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005609",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mecklenburg County Community Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 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.