NPIMap

Organization Active NPI

A Heritage Child Network, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Monroe, NC
National Provider Identifier
1811237365
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
101YP2500X Issued in NC
Legal business name
A HERITAGE CHILD NETWORK, INC
Practice address
808 Circle Dr
Monroe, NC 28112-3800
Phone
(704) 619-3490
Fax
(704) 849-5251
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Ms. Glenda Lena Vinson-Nnaji, LPCNPI 1275657132
Title
Ceo
Phone
(704) 619-3490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 101YP2500X NC Primary

Addresses

Primary practice location

808 Circle Dr
Monroe, NC 28112-3800

Mailing address

7633 Pineville Matthews Rd
Box 10
Charlotte, NC 28226-3909
Phone (704) 619-3490

Other identifiers 2

IdentifierTypeStateIssuer
1578734646MedicaidNC
1275657132MedicaidNC

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1811237365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 PINEVILLE MATTHEWS RD",
            "address_2": "BOX 10",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263909",
            "telephone_number": "704-619-3490",
            "fax_number": "704-849-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 CIRCLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281123800",
            "telephone_number": "704-619-3490",
            "fax_number": "704-849-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HERITAGE CHILD NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "VINSON-NNAJI",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "LENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-619-3490",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578734646",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275657132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.