NPIMap

Organization Active NPI

McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Statesville, NC
National Provider Identifier
1659558922
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-049-101 Issued in NC
Legal business name
MCLEOD CENTERS FOR WELLBEING
Practice address
636 Signal Hill Drive Ext
Statesville, NC 28625-4774
Phone
(704) 871-2992
Fax
(704) 871-2994
NPI assigned
Jan 29, 2008
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Marsha B Childers
Title
Director of Revenue Cycle Managemen
Phone
(704) 332-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-049-101 NC Primary

Addresses

Primary practice location

636 Signal Hill Drive Ext
Statesville, NC 28625-4774

Mailing address

500 Archdale Dr
Charlotte, NC 28217-4217
Phone (704) 332-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 4, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002030 NC Part B Supplier - Opioid Treatment Program (Otp) 4284996901 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marion, NC; Statesville, NC; Monroe, NC; Lenoir, NC; Hickory, NC; Charlotte, NC; Concord, NC; Gastonia, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2079326McLeod Centers for Wellbeing636 Signal Hill Drive Extension, Statesville, NC 28625Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
McLeod Add Disease Ctr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

636 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 871-2992

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1659558922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCHDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174217",
            "telephone_number": "704-332-9001",
            "fax_number": "704-332-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254774",
            "telephone_number": "704-871-2992",
            "fax_number": "704-871-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD CENTERS FOR WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "704-332-9001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-049-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.