THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. (NPI# 1962625061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625061 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. |
| Other Organization Name | WILLOW PLACE GROUP HOME |
| Practice Address |
603 Long St West Jefferson NC 28694-8810 |
| Mailing Address |
1331 Sunday Dr Raleigh NC 27607 |
| Practice Telephone | 3362466504 |
| Mailing Telephone | 9198663287 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN COCHRAN (FINANCIAL ASSISTANT) |
| Authorized Official Telephone | 9198663287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-005-008 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804245 | 05 |
| Other Name | Type Code |
|---|---|
| Willow Place Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336388131 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 411 West Burkhead St, Whiteville, NC 28472-3103 | 2009-02-18 |
| 1215105382 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2008-02-12 |
| 1295936417 | The Mental Health Association In North Carolina, Inc. | Community/Behavioral Health | 1331 Sunday Dr, Raleigh, NC 27607-5166 | 2007-05-29 |
| 1174743082 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 101 Hannah Ln, Rocky Mount, NC 27803-4268 | 2007-04-26 |
| 1730309154 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 303 N Church St, Lexington, NC 27292-4156 | 2007-04-26 |
| 1558581975 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 425 Pee Dee Ave, Albemarle, NC 28001-4910 | 2007-04-26 |
| 1083834402 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1615 Fikewood St E, Wilson, NC 27893-5586 | 2007-04-26 |
| 1467672881 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 213 Broad St Apt D, Mount Airy, NC 27030-4688 | 2007-04-26 |
| 1023238706 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 206 Lenoir St Ste O, Morganton, NC 28655-3124 | 2007-04-26 |
| 1053531806 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 317 Franklin Ave Nw, Concord, NC 28025-4909 | 2007-04-26 |
| Street Address |
603 LONG ST |
| City | WEST JEFFERSON |
| State | NC |
| Zip Code | 28694-8810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070039 | Easter Seals Ucp North Carolina & Virginia, Inc. | Community/Behavioral Health | 603 Long St, West Jefferson, NC 28694-8810 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447810577 | Jordain Dollar Hardin | Nurse Practitioner | 952 Us Hwy 221 Bussiness, West Jefferson, NC 28694 | 2019-06-20 |
| 1518416320 | Ashe County Transportation Authority | Non-emergency Medical Transport (VAN) | 895 Ray Taylor Road, West Jefferson, NC 28694 | 2016-09-22 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1275965261 | Charles D Reed | Pharmacist | 60 Ashemont Dr, West Jefferson, NC 28694 | 2013-08-01 |
| 1619319548 | Kimberly Barlow Furches | Marriage & Family Therapist | 106 B South Jefferson Ave, West Jefferson, NC 28694 | 2013-07-19 |
| 1447526959 | Healthstat Inc | Nurse Practitioner | 2375 Hwy 163, West Jefferson, NC 28694 | 2012-03-29 |
| 1700184348 | Heather Barker Peters | Nurse Practitioner | 17 East Buck Mountain Road, West Jefferson, NC 28694 | 2011-03-07 |
| 1750517702 | Kathryn Marie Meyer | Pharmacist | 60 Ashemont Drive, West Jefferson, NC 28694 | 2009-06-04 |
| 1427227024 | Ashe Optometric Eyecare Center, Pa | Optometrist | 306 Jefferson Ave, West Jefferson, NC 28694 | 2008-02-27 |
| 1609070812 | The Village of Ashe Assisted Living Inc | Assisted Living Facility | 151 Village Park Drive, West Jefferson, NC 28694 | 2007-06-12 |
| Find all providers in zip 28694 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669690525 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 113 Burkett Ave, West Jefferson, NC 28694-9547 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST JEFFERSON |
| Zip Code | 28694 |
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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.