Genesis Project 1
Genesis Project 1 is a healthcare organization registered as Point of Service in Charlotte, NC, holding Type 2 (organization) NPI 1417364480 since 2014. The authorized official on file is Trasha Black, Clinical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417364480 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Project 1 |
| Practice address | 5108 REAGAN DR, SUITE 14, Charlotte, NC, 28206 |
| Phone | 7045960505 |
| Fax | 7045960507 |
| Enumeration date | 2014-07-22 |
| Last updated in NPPES | 2014-07-22 |
Authorized official
| Name | Trasha Black |
|---|---|
| Title | Clinical Director |
| Phone | 7045960505 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | P009049 | NC |
Copy-ready billing details
Provider: Genesis Project 1 NPI: 1417364480 Taxonomy: 305S00000X (Point of Service) Address: 5108 REAGAN DR, SUITE 14, Charlotte, NC, 28206
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972809903 | Carolina Access Support & Enrichment Services Inc | Organization | Occupational Therapist | Charlotte, NC |
| 1902194467 | Sophia Campbell | Individual | Addiction (Substance Use Disorder) Counselor | Charlotte, NC |
| 1396096814 | Positive Care Solutions Incorporation | Organization | Respite Care | Charlotte, NC |
| 1821334400 | Adria Chambers | Individual | Mental Health Counselor | Charlotte, NC |
| 1275922593 | Britney Hill | Individual | Mental Health Counselor | Charlotte, NC |
| 1558755116 | Chenita Freeman | Individual | Mental Health Counselor | Charlotte, NC |
| 1447705082 | Alexis Brightman | Individual | Psychologist | Charlotte, NC |
| 1770030918 | Caroline Watkins | Individual | Clinical Social Worker | Charlotte, NC |
Verify this record
Cross-check NPI 1417364480 against the authoritative CMS record: view Genesis Project 1 on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Genesis Project 1?
Who is the authorized official for Genesis Project 1?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-22.