Organization Active NPI

Pivotal Health Solutions

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1669013041
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PIVOTAL HEALTH SOLUTIONS
Practice address
900 Copperfield Blvd NE
Concord, NC 28025-2433
Phone
(980) 777-8171
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Shaun Cox
Title
Ceo
Phone
(980) 777-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

900 Copperfield Blvd NE
Concord, NC 28025-2433

Mailing address

15105D John J Delaney Dr Unit 186
Charlotte, NC 28277-2741
Phone (919) 824-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313001980 NC Part B Supplier - Clinic/Group Practice 0749654887 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC; Charlotte, NC; Concord, NC; Salisbury, NC

National Provider Directory

National Provider Directory

Locations

19 Rankin Ave
Ste 121
Asheville, NC 28801
Phone (980) 777-8171

801 E Morehead St
Ste 301
Charlotte, NC 28202
Phone (919) 824-9595

801 E Morehead St
Ste 122
Charlotte, NC 28202
Phone (980) 505-7448

812 W Innes St
Ste 2000
Salisbury, NC 28144
Phone (980) 777-8171

Practitioners & affiliated clinicians

Practitioners 5

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1669013041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105D JOHN J DELANEY DR UNIT 186",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772741",
            "telephone_number": "919-824-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "980-777-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-777-8171"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.