AUTISM SERVICES OF MECKLENBURG COUNTY, INC. (NPI# 1881931921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881931921 |
| Entity Type | Organization |
| Organization Name | AUTISM SERVICES OF MECKLENBURG COUNTY, INC. |
| Practice Address |
5026 Lansing Dr Charlotte NC 28270-6076 |
| Mailing Address |
2211 Executive St Suite A Charlotte NC 28208-3661 |
| Practice Telephone | 7043929220 |
| Practice Fax Number | 7043929221 |
| Mailing Telephone | 7043929220 |
| Mailing Fax Number | 7043929221 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | MR. JACK MARCELLOUS PHILLIPS JR. (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 7049217464 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-060-468 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578815940 | Autism Services of Mecklenburg County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5300 Kelly St, Charlotte, NC 28205-7912 | 2012-10-10 |
| 1477805745 | Autism Services of Mecklenburg County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4016 Piney Grove Rd, Charlotte, NC 28212-9012 | 2012-10-10 |
| 1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
| 1972854693 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 4319 Mantle Ct, Charlotte, NC 28205-7243 | 2012-09-20 |
| 1093066714 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 4400 Dalmoor Dr, Charlotte, NC 28212-2157 | 2012-09-20 |
| 1043561764 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 1123 Ravendale Dr, Charlotte, NC 28216-1526 | 2012-09-20 |
| 1477683308 | Autism Services of Mecklenburg County, Inc. | Custodial Care Facility | 2211-a Executive Street, Charlotte, NC 28208-3655 | 2007-03-07 |
| Street Address |
5026 LANSING DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28270-6076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
| 1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
| 1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
| 1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
| 1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
| 1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
| Find all providers in zip 28270 | ||||
| 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.