SUPPORT INCORPORATED (NPI# 1831410505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831410505 |
Entity Type | Organization |
Organization Name | SUPPORT INCORPORATED |
Practice Address |
175 W Franklin Blvd Gastonia NC 28052-4145 |
Mailing Address |
Po Box 4003 Gastonia NC 28054-0041 |
Practice Telephone | 7048653529 |
Practice Fax Number | 7048670638 |
Mailing Telephone | 7048653529 |
Mailing Fax Number | 7048670638 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2015-12-30 |
Authorized Official Name | JOSH MARTIN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7048653529 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 253J00000X | Foster Care Agency | NC | Agencies | |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 251S00000X | Community/Behavioral Health | MHL-023-07 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6005063 | 05 | |
NC | 8300332 | 05 | |
NC | 3418141 | 05 | |
NC | 8303341 | 05 | |
NC | 8703014 | 05 | |
NC | 5900740 | 05 | |
NC | 5918314 | 05 | |
NC | 8300333 | 05 | |
NC | 3410013 | 05 | |
NC | 5900737 | 05 | |
NC | 8300340 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851718548 | Support Incorporated | Community/Behavioral Health | 2110 Main Ave Se Ste West, Hickory, NC 28602-1405 | 2014-03-20 |
1275883316 | Support Incorporated | Counselor | 126 Performance Dr, Lincolnton, NC 28092-8543 | 2012-09-17 |
1871634378 | Support Incorporated | Counselor | 200 S Post Rd Ste 3, Shelby, NC 28152-6270 | 2007-02-09 |
1669513073 | Support Incorporated | Day Training, Developmentally Disabled Services | 1243 E Dixon Blvd Ste 4, Shelby, NC 28152-6893 | 2007-02-09 |
1265959282 | Support Incorporated | Counselor | 738 4th St Sw, Hickory, NC 28602-3401 | 2017-08-30 |
1922534080 | Support Incorporated | Counselor | 1053 13th St Se, Hickory, NC 28602-4165 | 2017-05-11 |
1326575192 | Support Incorporated | Counselor | 738 4th St Sw, Hickory, NC 28602-3401 | 2017-05-11 |
1871986919 | Support Incorporated | Social Worker | 107 N Summey St, Dallas, NC 28034-1824 | 2015-03-13 |
1780974253 | Support Incorporated | Clinic/Center | 708 S Chestnut St, Gastonia, NC 28054-4548 | 2011-04-18 |
1134260623 | Support Incorporated | Counselor | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2007-02-09 |
Street Address |
175 W FRANKLIN BLVD |
City | GASTONIA |
State | NC |
Zip Code | 28052-4145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972599934 | Benjamin D Johnson | Psychologist | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2005-09-26 |
1265039416 | Dajah Black | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2020-10-01 |
1164030433 | Shaquila O'shay Renee Massey | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2020-07-22 |
1093334724 | Felecia Lockett | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2020-04-13 |
1922631282 | Azuree Lenae Purcell | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2020-02-14 |
1932759495 | Anna Hiott | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2019-09-17 |
1427605294 | Aleksandra Urszula Hoyle | Counselor | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2019-08-26 |
1689222465 | Laquandra Banks | Counselor | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2019-08-26 |
1952958233 | Kelly Biter | Counselor | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2019-08-21 |
1932761251 | Tonya Sue Young | Social Worker | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2019-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
Find all providers in zip 28052 |
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 |
---|---|---|---|---|
1821568759 | Grace Therapeutic Counseling Pllc | Community/Behavioral Health | 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 | 2018-12-04 |
1306376660 | Foundations Education Academy LLC | Community/Behavioral Health | 1008 Union Rd Ste B, Gastonia, NC 28054-5590 | 2017-06-19 |
1972052728 | Round Table Coaching and Consulting | Community/Behavioral Health | 1554 Union Rd Ste 6c, Gastonia, NC 28054-5581 | 2016-09-21 |
1760939615 | The Groves Counseling Center | Community/Behavioral Health | 2005 Flint Ln, Gastonia, NC 28054-3334 | 2016-09-08 |
1376097162 | Zoe Counseling and Consulting Pllc | Community/Behavioral Health | 1550 Union Rd Ste A, Gastonia, NC 28054-5522 | 2016-08-09 |
1669825436 | Monarch In Albemarle | Community/Behavioral Health | 1252 Union Rd, D, Gastonia, NC 28054-0505 | 2016-07-18 |
1710355698 | Rha Health Services, Inc. | Community/Behavioral Health | 1564 Union Rd Ste A, Gastonia, NC 28054-5302 | 2015-09-09 |
1255746467 | Community Resource Solutions, LLC - Sc | Community/Behavioral Health | 1566 Union Rd Ste A, Gastonia, NC 28054-5301 | 2014-06-25 |
1013345586 | Monarch | Community/Behavioral Health | 680 Clyde St, Gastonia, NC 28052-7720 | 2013-10-21 |
1942559075 | Alternative Community Penalties Program, Inc. | Community/Behavioral Health | 410 W Franklin Blvd, Suite 20, Gastonia, NC 28052-2807 | 2012-09-05 |
Find all providers in GASTONIA |
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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.