OUTREACH MANAGEMENT SERVICES LLC
NPI 1417080680
Community/Behavioral Health in Gastonia, NC

NPI Status: Active since March 14, 2007

Contact Information

1723 ARMSTRONG PARK DR
GASTONIA, NC
ZIP 28054
Phone: (704) 854-9828
Fax: (704) 854-9882

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About OUTREACH MANAGEMENT SERVICES LLC

This page provides the complete NPI Profile along with additional information for Outreach Management Services Llc, a provider established in Gastonia, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1417080680 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X with license number MHL-036-235 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Alexander Xavier Walker Qp (Executive Director)

NPI
1417080680
Provider Name
OUTREACH MANAGEMENT SERVICES LLC
Entity Type
Organization
Location Address
1723 ARMSTRONG PARK DR GASTONIA, NC 28054
Location Phone
(704) 854-9828
Location Fax
(704) 854-9882
Mailing Address
1723 ARMSTRONG PARK DR GASTONIA, NC 28054
Mailing Phone
(704) 854-9828
Mailing Fax
(704) 854-9882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
02-17-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MHL-036-235
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

MHL-036-235 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ALEXANDER XAVIER WALKER QP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(704) 854-9828

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8300696MEDICAID (05)NC 
6005781MEDICAID (05)NC 
8300696BMEDICAID (05)NC 
8300696GMEDICAID (05)NC 
8300696DMEDICAID (05)NC 
8300696QMEDICAID (05)NC 
8300696HMEDICAID (05)NC 

Reviews for OUTREACH MANAGEMENT SERVICES LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417080680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427080616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 0 + 8 + 0 + 6 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417080680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194918433FAMILY PSYCHIATRI CARE, PLLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1730406257STARTING POINT CAROLINA
Organization
Foster Care Agency1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1952601817OUTREACH MANAGEMENT SERVICES LLC
Organization
Case Management1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1407156367OUTREACH MANAGEMENT SERVICES LLC
Organization
Community/Behavioral Health1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1306196902 TONCE VEREEN
Individual
Counselor (Addiction (Substance Use Disorder))1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1750775284 HANS SHERROD
Individual
Social Worker (Clinical)1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1699824391DR. SUSAN PAULETTE PAYNE NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828
1740607340 CLARA PAINTER MA, LCMHC, LP
Individual
Counselor (Professional)1723 ARMSTRONG PARK DR
GASTONIA, NC 28054
(704) 854-9828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417080680, enumerated in the NPI registry as an "organization" on March 14, 2007

The provider is located at 1723 Armstrong Park Dr Gastonia, Nc 28054 and the phone number is (704) 854-9828

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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