Active NPI
Mecklenburg County Area MH, DD and Sa Authority
- State or Local Public Health Clinic/Center
- Charlotte, NC
National Provider Identifier
1891882528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY
- Practice address
- 429 Billingsley Rd
Charlotte, NC 28211-1007 - Phone
- (704) 336-2023
- Fax
- (704) 336-8591
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 21, 2022
- 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. Grayce Crockett, LCSW
- Title
- Area Director
- Phone
- (704) 336-8638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | NU | Primary |
Addresses
Primary practice location
429 Billingsley Rd
Charlotte, NC 28211-1007
Mailing address
429 Billingsley Rd
Charlotte, NC 28211-1007
Phone (704) 336-2023
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404913 | Medicaid | NC | |
| 3404913P | Medicaid | NC | |
| 3404913M | Medicaid | NC | |
| 6005609 | Other | NC | MULTI-SPECIALTY GROUP |
| 6005610 | Other | NC | MULTI-SPECIALTY GROUP |
National Provider Directory
National Provider Directory- Tax ID family
- Mecklenburg County
Other organizations with this tax ID 31
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Charlotte, NC
- NPI 1215270715
-
dba Mecklenburg County Health Dept - Northwest Campus
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1073893319
-
dba Mecklenburg County Health Department - Clinical Services
- State or Local Public Health Clinic/Center
- Charlotte, NC
- NPI 1043352594
-
dba Mecklenburg County Health Department - CAP Services
- Case Management Agency
- Charlotte, NC
- NPI 1063554517
-
dba Mecklenburg County Health Dept-Adult Outpatient Mental Health Services
- State or Local Public Health Clinic/Center
- Charlotte, NC
- NPI 1063694222
-
dba Mecklenburg County Health Department - Women's Health Mammography
- State or Local Public Health Clinic/Center
- Charlotte, NC
- NPI 1134261688
-
dba Mecklenburg County Health Dept - Northeast Campus
- Clinic Pharmacy
- Charlotte, NC
- NPI 1164143996
-
dba Mecklenburg County Childrens Developmental Services Agency
- Public Health or Welfare Agency
- Charlotte, NC
- NPI 1396814331
-
dba Mecklenburg County Health Department - HIV Case Management
- Case Management Agency
- Charlotte, NC
- NPI 1477694313
-
dba Mecklenburg County Community Support Services
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1609946953
-
dba Mecklenburg County Health Department - MCH Case Management
- State or Local Public Health Clinic/Center
- Charlotte, NC
- NPI 1619091709
-
dba Mecklenburg County CSS
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1619164514
Locations
429 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-2023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1891882528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111007",
"telephone_number": "704-336-2023",
"fax_number": "704-336-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111007",
"telephone_number": "704-336-2023",
"fax_number": "704-336-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CROCKETT",
"authorized_official_first_name": "GRAYCE",
"authorized_official_title_or_position": "AREA DIRECTOR",
"authorized_official_telephone_number": "704-336-8638",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404913",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404913P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404913M",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-SPECIALTY GROUP",
"identifier": "6005609",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-SPECIALTY GROUP",
"identifier": "6005610",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Mecklenburg County Area Mental Health Authority
- Mecklenburg County Area Mental Health Authority
- Mecklenburg County Area Mental Health Authority
- Mecklenburg County Area Mental Health Authority
- Mecklenburg County Area Mental Health Authority
- Mecklenburg County Area MH, DD and Sa Authority
- Mecklenburg County Provided Services Organization
- Mecklenburg Dermatology Assoc. PA
- Mecklenburg Diagnostic Imaging LLC (Novant Health Imaging Southpark)
- Mecklenburg Dynamic Solutions, LTD. Liability Co (Mecklenburg Phlebotomy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.