A PLACE 4 ME, LLC — NPI 1306455126 (Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness in CHARLOTTE, NC)

CMS-1500 Box 24J / 33a • NPI

1306455126

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

320800000X

Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness

Box 32 Service Location & ZIP+4

3117 WHITING AVE STE 125, CHARLOTTE, NC, 28205-1648

✓ 9-Digit EDI 837 ZIP+4 (28205-1648)

Practice Phone & Referral Fax

(980) 243-5595

Fax: (980) 245-5595

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306455126 (A PLACE 4 ME, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306455126` (NPI-2 Organization / Facility)
Provider / Legal Name	A PLACE 4 ME, LLC
Plain-English Specialty	Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness NUCC Code: `320800000X` (Community Based Residential Treatment Facility, Mental Illness)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3117 WHITING AVE STE 125, CHARLOTTE, NC, 28205-1648
Practice Telephone / Fax	Tel: (980) 243-5595 \| Fax: (980) 245-5595
Administrative Mailing Address	7410 NICCOLINE LN, CHARLOTTE, NC, 28214-8079
Enumeration & Last Sync	Enumerated: 2020-07-28 \| CMS Record Updated: 2026-06-20
Authorized Official	KELLY SMITH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3117 WHITING AVE STE 125, CHARLOTTE, NC, 28205-1648

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Plain-English Taxonomy & CMS Crosswalk (320800000X)

What Does Taxonomy Code 320800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320800000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Mental Illness for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A PLACE 4 ME, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`343800000X` — Secured Medical Transport (VAN) Plain English: Licensed & Credentialed Secured Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Secondary
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`320800000X` — Community Based Residential Treatment Facility, Mental Illness Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A PLACE 4 ME, LLC (NPI #1306455126)