Active NPI
Arj-Cabha
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1962705418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ARJ-CABHA
- Practice address
- 2311 Village Lake Dr Ste 105-262
Charlotte, NC 28212 - Phone
- (980) 819-5692
- NPI assigned
- Dec 6, 2010
- Organization subpart
- Yes
- Parent organization
- ARJ
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendell Jasper, PH.D.
- Title
- Clinical Director
- Phone
- (704) 910-5395
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2311 Village Lake Dr Ste 105-262
Charlotte, NC 28212
Mailing address
2311 Village Lake Dr Ste 105-262
Charlotte, NC 28212-0081
Phone (980) 819-5692
Other practice location 1
223 W Morehead St
Charlotte, NC 28202-1521
Phone (704) 910-5395
Other practice location 2
3719 Latrobe Dr
Charlotte, NC 28211-4861
Phone (980) 229-3788
National Provider Directory
National Provider Directory- Tax ID family
- Arj LLC
- Part of
- Arj LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Charlotte, NC
- NPI 1184087546
Locations
2311 Village Lake Dr
Ste 105262
Charlotte, NC 28212
Phone (980) 819-5692
3719 Latrobe Dr
Charlotte, NC 28211
Phone (704) 286-6227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557792000000",
"number": "1962705418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 VILLAGE LAKE DR STE 105-262",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282120081",
"telephone_number": "980-819-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 VILLAGE LAKE DR STE 105-262",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "980-819-5692"
}
],
"practiceLocations": [
{
"address_1": "223 W Morehead St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282021521",
"country_code": "US",
"telephone_number": "704-910-5395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3719 Latrobe Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114861",
"country_code": "US",
"telephone_number": "980-229-3788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARJ-CABHA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARJ",
"enumeration_date": "2010-12-06",
"last_updated": "2019-05-14",
"status": "A",
"authorized_official_last_name": "JASPER",
"authorized_official_first_name": "KENDELL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "704-910-5395",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"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 Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.