CAROLINA OUTREACH, LLC (NPI# 1669858510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669858510 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
5108 Reagan Dr Ste 13&14 Charlotte NC 28206-3103 |
| Practice Telephone | 7043328787 |
| Mailing Telephone | 7043328787 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | TIMOTHY BROOKS (CO-DIRECTOR) |
| Authorized Official Telephone | 9192519001 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA OUTREACH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| 1285054692 | Carolina Outreach, LLC | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577 | 2014-04-24 |
| Street Address |
5108 REAGAN DR STE 13&14 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 1760090641 | Compact Health Services LLC | Community/Behavioral Health | 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 | 2020-07-16 |
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1114540093 | Curtis In Care LLC | Community/Behavioral Health | 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 | 2020-05-26 |
| 1477174407 | Garden of Life, Inc | Community/Behavioral Health | 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 | 2020-04-30 |
| 1134753601 | Luis Ariel Hernandez | Community/Behavioral Health | 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 | 2020-02-24 |
| 1205468774 | Windsong Family & Psychiatric Associates, Pllc | Community/Behavioral Health | 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 | 2020-02-12 |
| 1265071542 | Counseling and Behavioral Therapy | Community/Behavioral Health | 16528 Silversword Dr, Charlotte, NC 28213-4876 | 2020-01-03 |
| 1578101283 | Davis Quality Care LLC | Community/Behavioral Health | 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 | 2019-12-12 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.