Active NPI
Prosperity Path, LLC
- Community/Behavioral Health Agency
- Mooresville, NC
National Provider Identifier
1689348468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PROSPERITY PATH, LLC
- Practice address
- 137 Ebert Rd Ste 7a
Mooresville, NC 28117-7187 - Phone
- (704) 615-3458
- NPI assigned
- Aug 4, 2021
- Last updated
- Jun 10, 2025
- 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
- Mr. Jonathan Christopher Lilley
- Title
- Ceo
- Phone
- (704) 615-3458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
137 Ebert Rd Ste 7a
Mooresville, NC 28117-7187
Mailing address
12430 Clackwyck LN
Charlotte, NC 28262-1628
Phone (704) 615-3458
National Provider Directory
National Provider DirectoryLocations
137 Ebert Rd
Ste 7A
Mooresville, NC 28117
Phone (704) 615-3458
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Case Manager/Care Coordinator
- Mooresville, NC
- NPI 1467318022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1689348468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12430 CLACKWYCK LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621628",
"telephone_number": "704-615-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 EBERT RD STE 7A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177187",
"telephone_number": "704-615-3458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY PATH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "LILLEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-615-3458",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Justin M Pretzel, DPT
- Aaron Price
- Bre Bailey Price, MS, CCC-SLP
- Kristin Marie Prochaska, P.A.-C
- Professional Pharmacy Concepts
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- Publix North Carolina, LP (Publix Pharmacy #1872)
- Lynn B Puma, LCSW
- Pure Nutrition and Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.