NPIMap

Organization Active NPI

Envisions of Life LLC

  • Case Management Agency
  • Greensboro, NC
National Provider Identifier
1881788818
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ENVISIONS OF LIFE LLC
Practice address
5 Centerview Dr Ste 110
Greensboro, NC 27407-3709
Phone
(336) 887-0708
Fax
(336) 887-1085
NPI assigned
Oct 3, 2006
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Marva Mathis, BS,
Title
Director
Phone
(336) 887-0708

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NC
Mental Health Counselor 101YM0800X NC
Professional Counselor 101YP2500X

Addresses

Primary practice location

5 Centerview Dr Ste 110
Greensboro, NC 27407-3709

Mailing address

5 Centerview Dr Ste 110
Greensboro, NC 27407-3709
Phone (336) 887-0708

Other identifiers 2

IdentifierTypeStateIssuer
8301518AMedicaidNC
8301518MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000794 NC Part B Supplier - Clinic/Group Practice 0749317493 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Greensboro, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Envisions of Life LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

216 N McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 323-6002

5 Centerview Dr
Greensboro, NC 27407
Phone (336) 887-0708

Practitioners & affiliated clinicians

Practitioners 6

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1881788818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "336-887-0708",
            "fax_number": "336-887-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "336-887-0708",
            "fax_number": "336-887-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONS OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-887-0708",
        "authorized_official_credential": "BS,"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301518A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301518",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.

Verify at the official NPI Registry.