Ervin House

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHL-060-1010 Issued in NC

Legal business name

ERVIN HOUSE

Practice address

1069 Brianna Way
Charlotte, NC 28217-1261

Phone

(704) 426-9457

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By 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

Deangela M ErvinNPI 1275746497

Title

Executive Director

Phone

(704) 426-9457

Specialties & licenses 1

Addresses

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.

• Deangela Michelle Ervin

  • Contractor
  • Charlotte, NC
  • NPI 1275746497
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1801075510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 SYRACUSE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164421",
            "telephone_number": "704-426-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 BRIANNA WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171261",
            "telephone_number": "704-426-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERVIN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "DEANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-426-9457"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-060-1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Sherman Ernst, MD
• Sarah Colleen Ernst, D.C.
• Glenn W Errington, MD
• Erron S Brady DMD PA
• Erron S Brady DMD PA
• Ervin S. Batchelor, PA (Carolina Center for Development and Rehabilitation)
• Deangela Michelle Ervin
• Margaret Ervin, RPH
• Shannon Ruth Ervin, PA-C
• Stefanie Suzane Ervin, D.C.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.