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CAROLINA OUTREACH
NPI 1407585706
Clinic/Center - Mental Health (Including Community Mental Health Center) in Charlotte, NC

Active since June 10, 2022
5108 REAGAN DR, CHARLOTTE, NC 28206(704) 332-8787 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Outreach NPPES

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

CAROLINA OUTREACH (NPI 1407585706) is a healthcare organization registered as a mental health (including community mental health center) in Charlotte, North Carolina and active in the NPI registry since June 2022. The organization lists Jeremy Fitzgerald, Intensive In-home Therapist, as its authorized official.

NPPES Registry Identity

NPI1407585706
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCAROLINA OUTREACH
Location Address5108 REAGAN DRCharlotte, NC 28206-3103
Mailing Address5108 Reagan DrCharlotte, NC 28206-3103 · (704) 332-8787
Phone(704) 332-8787
Organization SubpartNo
Authorized OfficialJeremy FitzgeraldIntensive In-home Therapist · (704) 565-9538
Enumeration DateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1407585706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5108 REAGAN DR, Charlotte, NC 28206
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EDWARD MURRAY IV MSW, LCSWA
Social Worker (Clinical)
5108 REAGAN DR
CHARLOTTE, NC 28206
Mecklenburg County (919) 813-0859
BRITNEY ELIZABETH HILL MA, LCMHC
Counselor (Mental Health)
5108 REAGAN DR
CHARLOTTE, NC 28206
Mecklenburg County (704) 596-0505
POSITIVE CARE SOLUTIONS INCORPORATION
Respite Care
5108 REAGAN DR, SUITE 10
CHARLOTTE, NC 28206
Mecklenburg County (704) 716-1155
JAVIETTE GRANT MS, LCMHCA, NCC
Counselor (Professional)
5108 REAGAN DR
CHARLOTTE, NC 28206
Mecklenburg County (704) 567-0790
GENESIS PROJECT 1
Point of Service
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Mecklenburg County (704) 596-0505
ALEXIS BRIGHTMAN L.P.A.
Psychologist
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Mecklenburg County (980) 498-6764
CHENITA FREEMAN LPC-A
Counselor (Mental Health)
5108 REAGAN DR, SUITE 14
CHARLOTTE, NC 28206
Mecklenburg County (704) 596-0505
CAROLINE WATKINS MSW, LCSWA
Social Worker (Clinical)
5108 REAGAN DR
CHARLOTTE, NC 28206
Mecklenburg County (704) 332-8787

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 Carolina Outreach's NPI number?

The NPI number for Carolina Outreach is 1407585706. It was assigned to this organization in the NPPES registry on June 10, 2022.

Where is Carolina Outreach located?

Carolina Outreach is located at 5108 Reagan Dr, Charlotte, NC 28206. The listed phone number is (704) 332-8787.

What is Carolina Outreach's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Carolina Outreach was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.