Organization Active NPI

Covington Healing Services,PLLC

  • Community/Behavioral Health Agency
  • Huntersville, NC
National Provider Identifier
1710614680
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COVINGTON HEALING SERVICES,PLLC
Practice address
14316 Reese Blvd W # B-837
Huntersville, NC 28078-7959
Phone
(704) 292-0216
NPI assigned
Aug 2, 2022
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Joshua Taylor Wiggins
Title
Credentialing Manager
Phone
(704) 498-7736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14316 Reese Blvd W # B-837
Huntersville, NC 28078-7959

Mailing address

1184 Lempster Dr NW
Concord, NC 28027-4524

National Provider Directory

National Provider Directory

Locations

14316 Reese Blvd W
#B837
Huntersville, NC 28078
Phone (704) 292-0216

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1710614680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 LEMPSTER DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14316 REESE BLVD W # B-837",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787959",
            "telephone_number": "704-292-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON HEALING SERVICES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "704-498-7736"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.