Organization Active NPI

Community Youth Impact LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1699685313
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY YOUTH IMPACT LLC
Practice address
7733 Linda Lake Dr
Charlotte, NC 28215-2846
Phone
(919) 395-6766
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Steviin Cyel James
Title
Managing Partner
Phone
(919) 395-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7733 Linda Lake Dr
Charlotte, NC 28215-2846

Mailing address

7733 Linda Lake Dr
Charlotte, NC 28215-2846
Phone (919) 395-6766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1699685313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 LINDA LAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152846",
            "telephone_number": "919-395-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 LINDA LAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152846",
            "telephone_number": "919-395-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY YOUTH IMPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEVIIN",
        "authorized_official_middle_name": "CYEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-395-6766"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2026; 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.