Active NPI
Person Centered Partnerships, Inc.
- Case Management Agency
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PERSON CENTERED PARTNERSHIPS, INC.
- Practice address
- 5108 Reagan Dr Ste 9
Charlotte, NC 28206-1394 - Phone
- (704) 567-0790
- Fax
- (833) 834-2555
- NPI assigned
- Aug 31, 2006
- 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
- Mrs. Erica C Corbin, MBA/MHA
- Title
- Chief Executive Officer
- Phone
- (704) 319-7601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Prescribing (Medical) Psychologist | 103TP0016X | 31951 | NC | |
| Clinical Social Worker | 1041C0700X | NC | ||
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
5108 Reagan Dr Ste 9
Charlotte, NC 28206-1394
Mailing address
PO Box 32301
Charlotte, NC 28232-2301
Phone (704) 567-0790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409377 | Medicaid | NC | |
| 5915506 | Medicaid | NC | |
| 6006547 | Medicaid | NC |
Other names 1
- Amara Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Amara Wellness
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1922487024
-
- Case Management Agency
- Charlotte, NC
- NPI 1699012724
-
- Nursing Care Agency
- Rock Hill, SC
- NPI 1003280025
Locations
5108 Reagan Dr
Ste 9
Charlotte, NC 28206
Phone (704) 319-7601
5801 Executive Center Dr
Ste 200
Charlotte, NC 28212
Phone (704) 567-0790
5601 Executive Center Dr
Ste 201
Charlotte, NC 28212
Phone (704) 305-1501
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Gastonia, NC
- NPI 1447200183
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1437649977
-
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1699217208
-
- Adult Health Nurse Practitioner
- Charlotte, NC
- NPI 1134584915
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1649642265
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1225567829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560902400000",
"number": "1841302197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32301",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322301",
"telephone_number": "704-567-0790",
"fax_number": "704-567-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 REAGAN DR STE 9",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282061394",
"telephone_number": "704-567-0790",
"fax_number": "833-834-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSON CENTERED PARTNERSHIPS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2019-06-19",
"status": "A",
"authorized_official_last_name": "CORBIN",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "704-319-7601",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA/MHA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NC",
"license": "31951",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"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": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409377",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915506",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006547",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amara Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Kelly Lynne Perryman, MD
- Kathleen Wunder Persavich, MD
- Jenna Frances Persky, APRN
- Person Centered Partnerships Inc
- Person Centered Partnerships, Inc.
- Personal Care Services of the Carolinas
- Personal Care Services of the Carolinas 1, LLC
- Personal Elite Homecare LLC
- Personal Enrichment Counseling & Consulting Services, PLLC
- Personal Home Care of North Carolina, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.