NPIMap

Organization Active NPI

Chad Hearst

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1922487024
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P009234 Issued in NC
Legal business name
CHAD HEARST
Practice address
5601 Executive Center Dr
201
Charlotte, NC 28212-8863
Phone
(704) 567-0790
Fax
(704) 567-8735
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Mr. Chad Hearst
Title
Independent License Social Worker
Phone
(704) 567-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P009234 NC Primary

Addresses

Primary practice location

5601 Executive Center Dr
201
Charlotte, NC 28212-8863

Mailing address

5601 Executive Center Dr Ste 201
Charlotte, NC 28212-8841
Phone (704) 567-0790

National Provider Directory

National Provider Directory
Tax ID family
Amara Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1922487024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE CENTER DR STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128841",
            "telephone_number": "704-567-0790",
            "fax_number": "704-567-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE CENTER DR",
            "address_2": "201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128863",
            "telephone_number": "704-567-0790",
            "fax_number": "704-567-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD HEARST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "HEARST",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "INDEPENDENT LICENSE SOCIAL WORKER",
        "authorized_official_telephone_number": "704-567-0790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P009234",
            "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 Aug 6, 2015; 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.