Children's Advocacy Center of Catawba County

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1828 Issued in NC

Legal business name

CHILDREN'S ADVOCACY CENTER OF CATAWBA COUNTY

Practice address

4360 County Home Road
Conover, NC 28613

Phone

(828) 465-9296

Fax

(828) 256-7711

NPI assigned

Dec 5, 2008

Last updated

Dec 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrienne Opdyke, EXECUTIVE DIRECTOR

Title

Executive Director

Phone

(828) 465-7665

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Children's Advocacy Center of Catawba County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Children's Advocacy Center

  • Case Management Agency
  • Conover, NC
  • NPI 1205808565
  NPD tax ID
• Children's Advocacy Center of Catawba County

  • Public Health or Welfare Agency
  • Conover, NC
  • NPI 1003013103
  NPD tax ID

Locations

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.

• Karen Lynn Henson, MA, LPA

  • Clinical Psychologist
  • Conover, NC
  • NPI 1699893131
  NPD (past)
• Julia P. Wetmore, CPNP

  • Nurse Practitioner
  • Conover, NC
  • NPI 1366843120
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1780829697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 COUNTY HOME ROAD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-465-9296",
            "fax_number": "828-256-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 COUNTY HOME ROAD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-465-9296",
            "fax_number": "828-256-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ADVOCACY CENTER OF CATAWBA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "OPDYKE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-465-7665",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Cervero, MA, LPC
• Leigh Anne Charles, MA,RD, LDN
• Child & Family Therapy Center PC
• Children's Advocacy Center
• Children's Advocacy Center of Catawba County
• Chopah, Inc (The Alberta House)
• Sommer C Clark, MSN, CPNP
• Kimberly Cline, FNP
• Clinical Counseling Services Inc
• CNC / Access, Inc. (ResCare HomeCare)

• Clinical Psychologist in Conover, NC
• Providers in Conover, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.