NPIMap

Organization Active NPI

The Mental Health Association in North Carolina, Inc.

Doing business as Holly Ridge

  • Mental Illness Community Based Residential Treatment Facility
  • Lenoir, NC
National Provider Identifier
1659594745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-041-055 Issued in NC
Legal business name
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
Doing business as
Holly Ridge
Practice address
1417 Harper Ave SW
Lenoir, NC 28645-5065
Phone
(828) 758-8316
NPI assigned
Apr 10, 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
Mr. Kevin Cochran
Title
Financial Assistant
Phone
(919) 866-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-041-055 NC Primary

Addresses

Primary practice location

1417 Harper Ave SW
Lenoir, NC 28645-5065

Mailing address

1331 Sunday Dr
Raleigh, NC 27607-5166
Phone (919) 866-3287

Other identifiers 1

IdentifierTypeStateIssuer
7804707MedicaidNC

Other names 1

  • Holly Ridge Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659594745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075166",
            "telephone_number": "919-866-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 HARPER AVE SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455065",
            "telephone_number": "828-758-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "919-866-3287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804707",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, 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.