Active NPI
Horizons Kids, LLC
- Mental Illness Community Based Residential Treatment Facility
- Statesville, NC
National Provider Identifier
1780132050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HORIZONS KIDS, LLC
- Practice address
- 130 Saint Jill Cir
Statesville, NC 28625-1833 - Phone
- (336) 408-1229
- Fax
- (336) 458-9695
- NPI assigned
- Sep 15, 2016
- Last updated
- Feb 15, 2023
- 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
- Eric Little
- Title
- Owner
- Phone
- (704) 458-7189
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
130 Saint Jill Cir
Statesville, NC 28625-1833
Mailing address
5936 Monroe Rd
Charlotte, NC 28212-6106
Phone (336) 408-1229
National Provider Directory
National Provider DirectoryLocations
1100 S Tryon St
Ste 200
Charlotte, NC 28203
5936 Monroe Rd
Charlotte, NC 28212
Phone (704) 956-3062
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1821528449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1780132050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 MONROE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282126106",
"telephone_number": "336-408-1229",
"fax_number": "336-458-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SAINT JILL CIR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251833",
"telephone_number": "336-408-1229",
"fax_number": "336-458-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZONS KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-458-7189"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.