NPIMap

Organization Active NPI

Inreach

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1720187420
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INREACH
Practice address
4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094
Phone
(704) 536-6661
Fax
(704) 536-0074
NPI assigned
Sep 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Lori A Gougeon
Title
President
Phone
(704) 536-6661

National Provider Directory

National Provider Directory
Tax ID family
Inreach30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

4530 Park Rd
Ste 300
Charlotte, NC 28209
Phone (980) 360-6100

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

NPPES NPI Registry

Primary practice location

4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094

Mailing address

4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094
Phone (704) 536-6661

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3408799MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2025.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1720187420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 MONROE RD STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050094",
            "telephone_number": "704-536-6661",
            "fax_number": "704-536-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 MONROE RD STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050094",
            "telephone_number": "704-536-6661",
            "fax_number": "704-536-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "GOUGEON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-536-6661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408799",
            "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 Mar 17, 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.

Verify at the official NPI Registry.