INTEGRATED BEHAVIORAL HEALTH MANAGEMENT
NPI 1780033233
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since June 06, 2016CLIA 34D2173939 · Waiver
8430 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262(704) 910-6142(980) 422-0106 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2016, Oct 27, 2016 (2 updates tracked since 2016).

About Integrated Behavioral Health Management NPPES

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

INTEGRATED BEHAVIORAL HEALTH MANAGEMENT (NPI 1780033233) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Maryann Catherine Richardson, Director, as its authorized official.

NPPES Registry Identity

NPI1780033233
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED BEHAVIORAL HEALTH MANAGEMENT
Location Address8430 MEDICAL PLAZA DR STE 300Charlotte, NC 28262-9758
Mailing Address8430 Medical Plaza Dr Ste 300Charlotte, NC 28262-9758 · (704) 910-6142 · Fax (908) 422-0106
Fax(980) 422-0106
Organization SubpartNo
Authorized OfficialMaryann Catherine RichardsonDirector · (704) 910-6142
Enumeration DateJune 6, 2016
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1780033233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCase ManagementTaxonomy 251B00000X · License 5004974 (NC)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 5004974 (NC)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 5004974 (NC)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 5004974 (NC)
8430 MEDICAL PLAZA DR STE 300, Charlotte, NC 28262

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)

Integrated Behavioral Health Management 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 Integrated Behavioral Health Management, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235425323
5617 MAXWELL PL
Wilmington, NC 28409
(910) 742-9243
✔ PECOS✔ Accepts Medicare184 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2173939

Integrated Behavioral Health Management · Charlotte, NC
Active · expires Oct 21, 2027
CLIA Number34D2173939
Laboratory TypeBehavioral Health
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorMaryann Richardson
Laboratory Phone(704) 910-6142
Laboratory LocationIntegrated Behavioral Health Management8430 Medical Plaza Dr. Suite 300, Charlotte, NC 28262
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Behavioral Health Management's NPI number?

The NPI number for Integrated Behavioral Health Management is 1780033233. It was assigned to this organization in the NPPES registry on June 6, 2016.

Where is Integrated Behavioral Health Management located?

Integrated Behavioral Health Management is located at 8430 Medical Plaza Dr Ste 300, Charlotte, NC 28262. The listed phone number is (704) 910-6142.

What is Integrated Behavioral Health Management's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Integrated Behavioral Health Management enrolled in Medicare?

Yes. Integrated Behavioral Health Management is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Behavioral Health Management?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrated Behavioral Health Management. 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.

Does Integrated Behavioral Health Management hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2173939) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Behavioral Health Management accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Integrated Behavioral Health Management 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 Integrated Behavioral Health Management was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.