Organization Active NPI

Arj-Cabha

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1962705418
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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
ARJAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2019

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one
Part of
Arj LLC

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.