EXTENSION TRAINING OF NC, LLC
NPI 1184143489
Clinic/Center - Adult Mental Health in Pineville, NC

Active since September 18, 2017
700 MORROW AVE, PINEVILLE, NC 28134(919) 592-3608(919) 835-9613 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Extension Training Of Nc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENSION TRAINING OF NC, LLC (NPI 1184143489) is a healthcare organization registered as an adult mental health in Pineville, North Carolina and active in the NPI registry since September 2017. The organization lists Christina Lanette Stevenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184143489
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEXTENSION TRAINING OF NC, LLC
Location Address700 MORROW AVEPineville, NC 28134-6528
Mailing Address1120 Lombar StRaleigh, NC 27610-6499 · (704) 806-2156
Fax(919) 835-9613
Organization SubpartNo
Authorized OfficialChristina Lanette StevensonOwner · (919) 592-3608
Enumeration DateSeptember 18, 2017
✔ NPI 1184143489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NC · 254418
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
700 MORROW AVE, Pineville, NC 28134

Other Identifiers 1

Other5007400NC · Nurse Practitioner

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Extension Training Of Nc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20220113002480Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Extension Training Of Nc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

1890 S. MAIN STREET SUITES 102E, 102C
Wakeforest, NC 27587
(919) 899-0759
✔ PECOS145 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extension Training Of Nc, LLC's NPI number?

The NPI number for Extension Training Of Nc, LLC is 1184143489. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Extension Training Of Nc, LLC located?

Extension Training Of Nc, LLC is located at 700 Morrow Ave, Pineville, NC 28134. The listed phone number is (919) 592-3608.

What is Extension Training Of Nc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Extension Training Of Nc, LLC enrolled in Medicare?

Yes. Extension Training Of Nc, LLC is registered in the Medicare PECOS enrollment system.

What insurance does Extension Training Of Nc, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Extension Training Of Nc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Extension Training Of Nc, LLC was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.