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EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
NPI 1497181309
Community Based Residential Treatment Facility, Mental Illness in Conover, NC

Active since September 24, 2013
3305 16TH AVE SE, CONOVER, NC 28613(919) 878-8898 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Easter Seals Ucp North Carolina & Virginia NPPES

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA (NPI 1497181309) is a healthcare organization registered as a community based residential treatment facility, mental illness in Conover, North Carolina and active in the NPI registry since September 2013. The organization lists Richard Edwards, Vp, as its authorized official.

NPPES Registry Identity

NPI1497181309
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA
Location Address3305 16TH AVE SEConover, NC 28613-9213
Mailing Address5171 Glenwood Ave, Ste 400Raleigh, NC 27612-3266 · (919) 783-8898
Phone(919) 878-8898
Organization SubpartNo
Authorized OfficialRichard EdwardsVp · (919) 783-8898
Enumeration DateSeptember 24, 2013
✔ NPI 1497181309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3305 16TH AVE SE, Conover, NC 28613
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Easter Seals Ucp North Carolina & Virginia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Easter Seals Ucp North Carolina & Virginia, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Clinical Social Worker25
Mental Health Counselor18
Nurse Practitioner13
Psychiatry10
Marriage and Family Therapist2
Addiction Medicine1
Clinical Psychologist1
Internal Medicine1

Nearest to this location (20)

See all 71
Charles Dixon, M.S., NCC, LPCA
Mental Health Counselor
NPI 1992173363
913 N CAROLINA AVE
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare23 mi
Christina Boland, LCSW
Clinical Social Worker
NPI 1043961675
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare23 mi
Bre'anna Williams, LCSW-A
Clinical Social Worker
NPI 1710612916
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare23 mi
Lisa Pratt-Winborne, LCMHC
Mental Health Counselor
NPI 1144717679
14125 STEELE CREEK RD
Charlotte, NC 28273
(202) 510-8846
✔ PECOS44 mi
Jonathan Stoudmire, MD
Psychiatry
NPI 1710959788
3046 SENNA DR SUITE B
Matthews, NC 28105
(704) 841-3886
✔ PECOS51 mi
Frantz Pierre, M.D
Psychiatry
NPI 1710168042
847 W LAKE DR
Mount Airy, NC 27030
(336) 783-6919
✔ PECOS✔ Accepts Medicare66 mi
Mandy Gravitte, LCSW, LCAS-A
Clinical Social Worker
NPI 1730415894
140 FRANKLIN ST
Mount Airy, NC 27030
(336) 755-2085
✔ PECOS✔ Accepts Medicare66 mi
Tonya Oakley, M.A.,L.M.F.T
Marriage and Family Therapist
NPI 1417007733
351 RIVERSIDE DR
Mount Airy, NC 27030
(336) 786-7079
✔ PECOS67 mi
Ashley Hamby, LCMHC
Mental Health Counselor
NPI 1538626544
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS67 mi
Linda Jacobs, LPC
Mental Health Counselor
NPI 1841493533
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare67 mi
Keisha Johnston, LCSW-A
Clinical Social Worker
NPI 1679283550
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare67 mi
Joshua Simmons, LCSW-A
Clinical Social Worker
NPI 1962136465
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS67 mi
Zackary Hawks, MA
Mental Health Counselor
NPI 1164776118
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare67 mi
Salina Agarwal, MD
Psychiatry
NPI 1467619957
510 N ELAM AVE STE 301
Greensboro, NC 27403
(336) 832-9800
✔ PECOS85 mi
Jadeka Motley Mangrum, PMHNP
Nurse Practitioner
NPI 1407536956
700 WALTER REED DR
Greensboro, NC 27403
(336) 210-5641
✔ PECOS✔ Accepts Medicare85 mi
Katrina Sessler, PMHNP-BC
Nurse Practitioner
NPI 1558199539
3608 UNIVERSITY DR STE 101
Durham, NC 27707
(919) 433-0170
✔ PECOS131 mi
Vinay Saranga, M.D.
Psychiatry
NPI 1144428673
1600 OLIVE CHAPEL RD STE 108A
Apex, NC 27502
(800) 732-9822
✔ PECOS✔ Accepts Medicare133 mi
Kimberly Evans
Clinical Social Worker
NPI 1356972327
116 N COOL SPRING ST
Fayetteville, NC 28301
(910) 500-6606
✔ PECOS142 mi
Alexia Maneschi, PSY.D.
Clinical Psychologist
NPI 1417000381
3801 LAKE BOONE TRL 300
Raleigh, NC 27607
(919) 784-9182
✔ PECOS145 mi
Sally Dixon, LCMHC-A
Mental Health Counselor
NPI 1841910957
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare149 mi
See all 71 clinicians

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 Easter Seals Ucp North Carolina & Virginia's NPI number?

The NPI number for Easter Seals Ucp North Carolina & Virginia is 1497181309. It was assigned to this organization in the NPPES registry on September 24, 2013.

Where is Easter Seals Ucp North Carolina & Virginia located?

Easter Seals Ucp North Carolina & Virginia is located at 3305 16th Ave SE, Conover, NC 28613. The listed phone number is (919) 878-8898.

What is Easter Seals Ucp North Carolina & Virginia's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Easter Seals Ucp North Carolina & Virginia enrolled in Medicare?

Yes. Easter Seals Ucp North Carolina & Virginia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easter Seals Ucp North Carolina & Virginia?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 8 Medicare specialties reassign their Medicare billing to Easter Seals Ucp North Carolina & Virginia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (25), Mental Health Counselor (18) and Nurse Practitioner (13). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Easter Seals Ucp North Carolina & Virginia was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.