Organization Active NPI

Carolina Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1932720034
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA BEHAVIORAL HEALTH SOLUTIONS
Practice address
2949 Audrey Dr
Gastonia, NC 28054-7269
Phone
(803) 616-6587
NPI assigned
Apr 29, 2020
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Jeremy Massey, LCMHCNPI 1780089128
Title
President
Phone
(803) 616-6587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2949 Audrey Dr
Gastonia, NC 28054-7269

Mailing address

1531 Meadow Glen LN
Rock Hill, SC 29730-7486
Phone (803) 616-6587

Other practice location 1

1006 Union Rd Ste E
Gastonia, NC 28054-5591
Phone (803) 616-6587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423000010 NC Part B Supplier - Clinic/Group Practice 6507205663 Receives reassigned benefits from 3 practitioners
Practice locations: Gastonia, NC

National Provider Directory

National Provider Directory

Locations

2949 Audrey Dr
Gastonia, NC 28054
Phone (704) 671-4003

Practitioners & affiliated clinicians

Practitioners 5

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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1932720034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 MEADOW GLEN LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307486",
            "telephone_number": "803-616-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 AUDREY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547269",
            "telephone_number": "803-616-6587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Union Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545591",
            "country_code": "US",
            "telephone_number": "803-616-6587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA BEHAVIORAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-616-6587",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.