Blue Peak Life Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE PEAK LIFE RECOVERY LLC

Practice address

927 S Lafayette St
Shelby, NC 28152-5851

Phone

(704) 297-8211

NPI assigned

Apr 16, 2026

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn Joy HarrisNPI 1235098146

Title

Owner

Phone

(704) 297-8211

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Autumn Joy Harris

  • Case Manager/Care Coordinator
  • Shelby, NC
  • NPI 1235098146
  NPD Authorized official

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1972447357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LEE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281525851",
            "telephone_number": "704-297-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEAK LIFE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-297-8211"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidy Shea Blanton, FNP
• Romelle Blanton, LCMHC-A
• Stephanie Blanton, PA
• Bloom & Balance, PLLC
• Bloom a New Day Mental Health PLLC
• Jiselle Marie Bock, MD
• Stephen J Bogan, M.D.
• Cynthia Fay Bohacek, FNP
• Diane Watson Boicourt, APRN FNP-BC
• Boiling Springs Life Saving & Rescue Unit, Inc. (Boiling Springs Rescue, Inc.)

• Community/Behavioral Health Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.