NPIMap

Organization Active NPI

Modern Treatment Healthcare Services, PLLC

  • Community/Behavioral Health Agency
  • Valdese, NC
National Provider Identifier
1851701627
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MODERN TREATMENT HEALTHCARE SERVICES, PLLC
Practice address
400 Main St W Ste 9
Valdese, NC 28690
Phone
(980) 643-1943
NPI assigned
May 2, 2014
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Kyle W Barnes, LPA, LPC, EDDNPI 1588863435
Title
Ceo
Phone
(980) 643-1943

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2058 NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

400 Main St W Ste 9
Valdese, NC 28690

Mailing address

92 Edgewater Rd
Hickory, NC 28601-8661
Phone (980) 643-1943

Other practice location 1

119 N Tradd St
Suite E
Statesville, NC 28677-5269
Phone (980) 643-1943

Other identifiers 1

IdentifierTypeStateIssuer
6107413MedicaidNC

National Provider Directory

National Provider Directory

Locations

119 N Tradd St
Ste E
Statesville, NC 28677
Phone (980) 643-1943

400 Main St W
Ste 9
Valdese, NC 28690
Phone (980) 643-1943

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": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1851701627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 EDGEWATER RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018661",
            "telephone_number": "980-643-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST W STE 9",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "28690",
            "telephone_number": "980-643-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N Tradd St",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286775269",
            "country_code": "US",
            "telephone_number": "980-643-1943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN TREATMENT HEALTHCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-643-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPA, LPC, EDD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "2058",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.