NPIMap

Organization Active NPI

Alexander Youth Network

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1902487614
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALEXANDER YOUTH NETWORK
Practice address
925 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 542-0853
NPI assigned
Apr 15, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Brennon Graham
Title
Ceo
Phone
(704) 366-8712

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

925 3Rd St
Greensboro, NC 27405-6967

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 362-6759

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2241807Alexander Youth Network - Facility Based925 Third Street, Greensboro, NC 27405Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alexander Youth Network41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

925 3rd St
Greensboro, NC 27405
Phone (336) 542-0853

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1902487614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 THERMAL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115630",
            "telephone_number": "704-362-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-542-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER YOUTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRENNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-366-8712"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.