NPIMap

Organization Active NPI

Anuvia Prevention & Recovery Center, Inc.

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1679828214
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-060-1244 Issued in NC
Legal business name
ANUVIA PREVENTION & RECOVERY CENTER, INC.
Practice address
5855 Executive Center Dr Ste 104
Charlotte, NC 28212-8821
Phone
(980) 321-5370
NPI assigned
Jul 19, 2012
Last updated
Dec 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Mr. Larry R Snider
Title
Executive Director
Phone
(980) 321-5370

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL-060-1244 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-060-1244 NC
Mental Health Counselor 101YM0800X MHL-060-1244 NC Primary
Community/Behavioral Health Agency 251S00000X MHL-060-1244 NC

Addresses

Primary practice location

5855 Executive Center Dr Ste 104
Charlotte, NC 28212-8821

Mailing address

100 Billingsley Rd
Charlotte, NC 28211-1002
Phone (704) 376-7447

Other identifiers 3

IdentifierTypeStateIssuer
00362OtherNCBLUE CROSS/BLUE SHIELD (BCBS)
6005408MedicaidNC
8300345MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Anuvia Prevention and Recovery Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5855 Executive Center Dr
Ste 104
Charlotte, NC 28212
Phone (704) 376-7447

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1679828214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111002",
            "telephone_number": "704-376-7447",
            "fax_number": "704-376-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 EXECUTIVE CENTER DR STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128821",
            "telephone_number": "980-321-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUVIA PREVENTION & RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-321-5370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL-060-1244",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-060-1244",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-060-1244",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-060-1244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD (BCBS)",
            "identifier": "00362",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005408",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300345",
            "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 Dec 31, 2014; 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.