Organization Active NPI

Metrolina AIDS Project

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1619029501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
METROLINA AIDS PROJECT
Practice address
127 Scaleybark Rd
Charlotte, NC 28209-2608
Phone
(704) 333-1435
Fax
(704) 602-2440
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann White
Title
Executive Director
Phone
(704) 333-1435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

127 Scaleybark Rd
Charlotte, NC 28209-2608

Mailing address

PO Box 32662
Charlotte, NC 28232-2662
Phone (704) 333-1435

Other identifiers 1

IdentifierTypeStateIssuer
6005870MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Metrolina AIDS Project2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619029501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32662",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322662",
            "telephone_number": "704-333-1435",
            "fax_number": "704-602-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SCALEYBARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092608",
            "telephone_number": "704-333-1435",
            "fax_number": "704-602-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA AIDS PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-333-1435"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005870",
            "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 Aug 22, 2020; 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.