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EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
NPI 1942362884
Community/Behavioral Health in Statesville, NC

Active since December 15, 2006
913 N CAROLINA AVE, STATESVILLE, NC 28677(704) 402-1060(704) 402-1065 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2021, Sep 18, 2020, Nov 20, 2015 (3 updates tracked since 2015).

About Easter Seals Ucp North Carolina & Virginia, Inc. NPPES

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI 1942362884) is a healthcare organization registered as a community/behavioral health in Statesville, North Carolina and active in the NPI registry since December 2006. The organization maintains 3 additional practice locations and lists Nasheba Key-allred, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942362884
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Location Address913 N CAROLINA AVEStatesville, NC 28677-3414
Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898
Phone(704) 402-1060
Fax(704) 402-1065
Organization SubpartNo
Authorized OfficialNasheba Key-allredCredentialing Specialist · (919) 865-8632
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1942362884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase ManagementTaxonomy 251B00000X
913 N CAROLINA AVE, Statesville, NC 28677
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1414 W Lebanon StMount Airy, NC 27030-2954 · Phone (336) 789-9492
Location 24000 Wake Forest Rd Ste 200Raleigh, NC 27609-6859 · Phone (919) 865-8710
Location 3619 Sullivan RdStatesville, NC 28677-3437 · Phone (704) 871-0934

Other Identifiers 8

Medicaid8300675NC
Medicaid8300675FNC
Medicaid8300675HNC
Medicaid8300675BNC
Medicaid8300675INC
Medicaid8300675ANC
Medicaid8300675GNC
Other018KJNC · Nc Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, Inc. 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, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. 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 MedicareSame address
Christina Boland, LCSW
Clinical Social Worker
NPI 1043961675
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare0.3 mi
Bre'anna Williams, LCSW-A
Clinical Social Worker
NPI 1710612916
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare0.3 mi
Frantz Pierre, M.D
Psychiatry
NPI 1710168042
847 W LAKE DR
Mount Airy, NC 27030
(336) 783-6919
✔ PECOS✔ Accepts Medicare48 mi
Jonathan Stoudmire, MD
Psychiatry
NPI 1710959788
3046 SENNA DR SUITE B
Matthews, NC 28105
(704) 841-3886
✔ PECOS48 mi
Lisa Pratt-Winborne, LCMHC
Mental Health Counselor
NPI 1144717679
14125 STEELE CREEK RD
Charlotte, NC 28273
(202) 510-8846
✔ PECOS49 mi
Mandy Gravitte, LCSW, LCAS-A
Clinical Social Worker
NPI 1730415894
140 FRANKLIN ST
Mount Airy, NC 27030
(336) 755-2085
✔ PECOS✔ Accepts Medicare50 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
✔ PECOS51 mi
Ashley Hamby, LCMHC
Mental Health Counselor
NPI 1538626544
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS51 mi
Linda Jacobs, LPC
Mental Health Counselor
NPI 1841493533
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare51 mi
Keisha Johnston, LCSW-A
Clinical Social Worker
NPI 1679283550
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare51 mi
Joshua Simmons, LCSW-A
Clinical Social Worker
NPI 1962136465
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS51 mi
Zackary Hawks, MA
Mental Health Counselor
NPI 1164776118
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts Medicare51 mi
Salina Agarwal, MD
Psychiatry
NPI 1467619957
510 N ELAM AVE STE 301
Greensboro, NC 27403
(336) 832-9800
✔ PECOS62 mi
Jadeka Motley Mangrum, PMHNP
Nurse Practitioner
NPI 1407536956
700 WALTER REED DR
Greensboro, NC 27403
(336) 210-5641
✔ PECOS✔ Accepts Medicare62 mi
Katrina Sessler, PMHNP-BC
Nurse Practitioner
NPI 1558199539
3608 UNIVERSITY DR STE 101
Durham, NC 27707
(919) 433-0170
✔ PECOS109 mi
Vinay Saranga, M.D.
Psychiatry
NPI 1144428673
1600 OLIVE CHAPEL RD STE 108A
Apex, NC 27502
(800) 732-9822
✔ PECOS✔ Accepts Medicare112 mi
Alison Voyer
Clinical Social Worker
NPI 1447659321
3801 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 865-8824
✔ PECOS✔ Accepts Medicare123 mi
Alexia Maneschi, PSY.D.
Clinical Psychologist
NPI 1417000381
3801 LAKE BOONE TRL 300
Raleigh, NC 27607
(919) 784-9182
✔ PECOS123 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 Medicare127 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, Inc.'s NPI number?

The NPI number for Easter Seals Ucp North Carolina & Virginia, Inc. is 1942362884. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Easter Seals Ucp North Carolina & Virginia, Inc. located?

Easter Seals Ucp North Carolina & Virginia, Inc. is located at 913 N Carolina Ave, Statesville, NC 28677. The listed phone number is (704) 402-1060.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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

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

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

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, Inc.. 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). Of these, 1 practice at this address and 3 within 10 miles. 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, Inc. was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.