Organization Active NPI

McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1962689232
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-018-057 Issued in NC
Legal business name
MCLEOD CENTERS FOR WELLBEING
Practice address
1170 Fairgrove Church Rd
Hickory, NC 28602-9695
Phone
(828) 464-1172
Fax
(828) 464-1175
NPI assigned
Jan 29, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Marsha B Childers
Title
Director of Revenue Cycle Managemen
Phone
(704) 332-9001

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
34D2079357McLeod Centers for Wellbeing1170A Fairgrove Church Road, Hickory, NC 28602Certificate of waiverJun 15, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 4, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002030 NC Part B Supplier - Opioid Treatment Program (Otp) 4284996901 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marion, NC; Statesville, NC; Monroe, NC; Lenoir, NC; Hickory, NC; Charlotte, NC; Concord, NC; Gastonia, NC

National Provider Directory

National Provider Directory
Tax ID family
McLeod Addictive Disease9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1170 Fairgrove Church Rd
Hickory, NC 28602
Phone (828) 322-4140

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-018-057 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1170 Fairgrove Church Rd
Hickory, NC 28602-9695

Mailing address

500 Archdale Dr
Charlotte, NC 28217-4217
Phone (704) 332-9001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2025.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1962689232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCHDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174217",
            "telephone_number": "704-332-9001",
            "fax_number": "704-332-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029695",
            "telephone_number": "828-464-1172",
            "fax_number": "828-464-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD CENTERS FOR WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "704-332-9001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-018-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.