NPIMap

Organization Active NPI

Mecklenburg County Area MH, DD and Sa Authority

  • Counselor
  • Charlotte, NC
National Provider Identifier
1891976015
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY
Practice address
720 E 4TH St
Charlotte, NC 28202-2884
Phone
(704) 432-1020
Fax
(704) 432-1021
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

720 E 4TH St
Charlotte, NC 28202-2884

Mailing address

429 Billingsley Rd
Charlotte, NC 28211-1007
Phone (704) 336-2023

National Provider Directory

National Provider Directory
Tax ID family
Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1891976015",
    "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": "720 E 4TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022884",
            "telephone_number": "704-432-1020",
            "fax_number": "704-432-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "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": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.