Active NPI
Carolina Developmental Therapy Services, LLC
- Early Intervention Provider Agency
- Monroe, NC
National Provider Identifier
1679635387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CAROLINA DEVELOPMENTAL THERAPY SERVICES, LLC
- Practice address
- 104 Avon St
Monroe, NC 28110-3014 - Phone
- (704) 218-6230
- Fax
- (704) 973-0844
- NPI assigned
- Dec 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janice Elaine Helms, LPC, ITFS
- Title
- Program Director
- Phone
- (704) 218-6230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
104 Avon St
Monroe, NC 28110-3014
Mailing address
PO Box 1047
Monroe, NC 28111-1047
Phone (704) 218-6230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301732 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
104 Avon St
Monroe, NC 28110
Phone (704) 218-6230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1679635387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1047",
"city": "MONROE",
"state": "NC",
"postal_code": "281111047",
"telephone_number": "704-218-6230",
"fax_number": "704-973-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 AVON ST",
"city": "MONROE",
"state": "NC",
"postal_code": "281103014",
"telephone_number": "704-218-6230",
"fax_number": "704-973-0844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA DEVELOPMENTAL THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-16",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "HELMS",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "704-218-6230",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, ITFS"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301732",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.