Covenant Case Management Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COVENANT CASE MANAGEMENT SERVICES, LLC

Practice address

9940 Monroe Rd Ste 201-202
Matthews, NC 28105-5347

Phone

(980) 284-1639

Fax

(704) 908-0251

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Jeffery Scott Phillips, MBA, QP

Title

Clinical Director

Phone

(980) 284-1639

Specialties & licenses 14

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Elizabeth Farrington, MA, LPC

  • Mental Health Counselor
  • Boone, NC
  • NPI 1699976985
  Medicare reassignment NPD
• Precious M Hoover, RN

  • Registered Nurse
  • Matthews, NC
  • NPI 1699350819

  Mental Health

  NPD
• Noel Adrian Treglia, FNP-C

  • Family Nurse Practitioner
  • Matthews, NC
  • NPI 1659814150
  NPD
• Tarissa Lyn Vreeland, MS, OTR/L

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1194251991
  NPD (past)
• Emily Wrisley, RT

  • Recreation Therapist
  • Smithfield, NC
  • NPI 1912450438
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1982921227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 MONROE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055417",
            "telephone_number": "704-249-7418",
            "fax_number": "704-908-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 MONROE RD STE 201-202",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055347",
            "telephone_number": "980-284-1639",
            "fax_number": "704-908-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Matthews Mint Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-305-8711",
            "fax_number": "704-908-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Firestone St Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280523783",
            "country_code": "US",
            "telephone_number": "704-249-7418",
            "fax_number": "704-908-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1146 Sam Newell Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055072",
            "country_code": "US",
            "telephone_number": "980-284-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 S York St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524052",
            "country_code": "US",
            "telephone_number": "704-249-7418",
            "fax_number": "704-908-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Remount Rd Ste H-100",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547476",
            "country_code": "US",
            "telephone_number": "704-249-7418",
            "fax_number": "704-908-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280019106",
            "country_code": "US",
            "telephone_number": "704-249-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 W Main St",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280014825",
            "country_code": "US",
            "telephone_number": "704-984-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Laurel Twig Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282159002",
            "country_code": "US",
            "telephone_number": "704-249-7418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COVENANT CASE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "980-284-1639",
        "authorized_official_credential": "MBA, QP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Adrean Cottle, LCMHC
• Caroline Ann Cotto, LCSW
• Kyle Countryman
• Covenant Pediatrics PA
• James Curtis Covington, LCAS-A
• Jesse Coward, LCSW
• Julia Cowman
• Larry W Craddock, M.D.

• Community/Behavioral Health Agency in Matthews, NC
• Providers in Matthews, 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 Jul 11, 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.