INTENTIONAL GROWTH BEHAVIORAL HEALTH SERVICES, PLLC
NPI 1639778905
Social Worker - Clinical in Midland, NC

Active since October 19, 2020
12925 HIGHWAY 601 STE 500, MIDLAND, NC 28107(252) 287-8620 Get Directions Write a Review

NPPES record last updated: December 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2022, Oct 27, 2020, Oct 21, 2020 (3 updates tracked since 2020).

About Intentional Growth Behavioral Health Services, Pllc NPPES

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

INTENTIONAL GROWTH BEHAVIORAL HEALTH SERVICES, PLLC (NPI 1639778905) is a healthcare organization registered as a clinical in Midland, North Carolina and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Locust and lists Ashley Marie Adam, Organizer/ Owner, as its authorized official.

NPPES Registry Identity

NPI1639778905
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTENTIONAL GROWTH BEHAVIORAL HEALTH SERVICES, PLLC
Location Address12925 HIGHWAY 601 STE 500Midland, NC 28107-9537
Mailing Address776 Alexander Commons DrMonroe, NC 28112-7650 · (252) 287-8620
Organization SubpartNo
Authorized OfficialAshley Marie AdamOrganizer/ Owner · (252) 287-8620
Enumeration DateOctober 19, 2020
Last NPPES UpdateDecember 31, 20223 updates tracked since enumeration
NPPES CertifiedDecember 31, 2022
✔ NPI 1639778905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12925 HIGHWAY 601 STE 500, Midland, NC 28107

Secondary Practice Location 1

Location 1544 Contentment DrLocust, NC 28097-0045 · Phone (252) 287-8620

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intentional Growth Behavioral Health Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Intentional Growth Behavioral Health Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1073963906
101 CABARRUS AVE E
Concord, NC 28025
(888) 849-7379
✔ PECOS✔ Accepts Medicare13 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 Intentional Growth Behavioral Health Services, PLLC's NPI number?

The NPI number for Intentional Growth Behavioral Health Services, PLLC is 1639778905. It was assigned to this organization in the NPPES registry on October 19, 2020.

Where is Intentional Growth Behavioral Health Services, PLLC located?

Intentional Growth Behavioral Health Services, PLLC is located at 12925 Highway 601 Ste 500, Midland, NC 28107. The listed phone number is (252) 287-8620.

What is Intentional Growth Behavioral Health Services, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Intentional Growth Behavioral Health Services, PLLC enrolled in Medicare?

Yes. Intentional Growth Behavioral Health Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intentional Growth Behavioral Health Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Intentional Growth Behavioral Health Services, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Intentional Growth Behavioral Health Services, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Intentional Growth Behavioral Health Services, PLLC 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 Intentional Growth Behavioral Health Services, PLLC was last updated on December 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.