Transcript
Page 1:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

3C Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

A Better Path, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

A Bridge to Achievement NC, LLC dba A Bridge to Achievement Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonA Caring Alternative, LLC MSA Burke Rebecca Harris 704.213.1293 [email protected] Dana FrakesA Caring Heart Case Management, Inc. MSA Wilson Ron Aldridge 336.514.7419 [email protected] Michael NortonA Caring Home, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesA Moment for You, PLLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesA Place of Their Own MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonA Small Miracle Contracted Agency Wake Miguel Sabillon 980.475.9039 [email protected] Dana FrakesA Special Touch Group Home, Inc. Contracted Agency Pender Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesA Sure House, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonABC of NC Child Development Center Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAblecare Corp Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonABS Utah, PC Contracted Agency Salt Lake Pam Hair 704.305.2097 [email protected] Dana FrakesAbsolute Advocacy, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAbundant Life, Inc. MSA Randolph Pam Hair 704.305.2097 [email protected] Dana FrakesAccess Family Services, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAchieving Changes Counseling Services, PLLC Contracted LIP Davidson Amy Berrier 336.608.8300 [email protected] Michael NortonACI Support Specialists, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonAcumen Fiscal Agent, LLC Contracted Agency Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAdamu Salisu, MD, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesAddiction Recovery Medical Services, PLLC Contracted Agency Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAddictions Recovery Care Association (ARCA) Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonAdelphoi Village, Inc. MSA Latrobe Pam Hair 704.305.2097 [email protected] Dana FrakesAdolescent Alternatives, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAdult Life Programs, Inc. MSA Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesAdvance Behavioral Health Services, Inc. Contracted Agency Lenoir Tawanda Lewis 919.357.5564 [email protected] Michael NortonAdvantage Care In Home Services Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonAffinity Clinical Services, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAffirmed Counseling, PLLC Contracted LIP Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesAGAPE Home Living Care, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAgape Psychological Consortium, LLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAlamance Academy, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAlamance Lifeworks EAP, LLC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonAlberta Professional Services, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAlcohol and Drug Services of Guilford, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAlexander Wilson, LPC, Inc. Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAlexander Youth Network, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Please note that QMS assignments are subject to change. Page 1 of 25

Page 2:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Alisa Ryan Young Contracted LIP Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonAll God's Children of Burlington, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAlliance Health and Home Care, LLC Contracted LIP Stanly Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAlloway Consulting PLLC. dba Center for Personal Growth Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAlmarch Counseling Services, PLLC Contracted LIP Group Wake Amy Berrier 336.608.8300 [email protected] Michael NortonAlpha Management Community Services, Inc. Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonAlpha Management Services Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonAlternative Behavioral Solutions, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAlternative Living Solutions of North Carolina Contracted LIP Group Cabarrus Karen Glenn 336.403.4583 [email protected] Michael NortonAmanda Tabor EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAmara Wellness Services, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAMAT Group Homes, LLC MSA Harnett LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAmbleside Inc. Contracted Agency Greene Mandy Padgett 252.820.9854 [email protected] Michael NortonAmethyst Consulting and Treatment Solutions, PLLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAmy & Clinton Oster EOR Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAmy D. Foster d/b/a FOSTERING MINDS Contracted LIP Group Yadkin Karen Glenn 336.403.4583 [email protected] Michael NortonAmy F. Johnson Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnderson Behavioral Health, Inc. dba Anderson Health Services Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesAnderson Counseling and Consulting Group, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAndrews Counseling and Consulting, PLLC Contracted LIP Mecklenburg Ron Aldridge 336.514.7419 [email protected] Michael NortonAneesah Thomas, LPC (Moments Matter Therapeutic Solutions) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAnew Balance Counseling Services, PLLC Contracted LIP Group Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonAngela Annas, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonAngela Barber EOR Orange Karen Glenn 336.403.4583 [email protected] Michael NortonAngela Wiley, LPC dba Greensboro Dance & Drama Therapy Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAngie Rowland, LPC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonAnn Smolin, PhD, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnother Chance Treatment Center Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAnother Level Counseling and Consultation, PLLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnuvia Prevention & Recovery Center, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesApogee Homes Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAppalachian Outpatient Services Contracted Agency Transylvania Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAriel Community Care, LLC Contracted Agency Caswell Karen Glenn 336.403.4583 [email protected] Michael NortonArise Destiny, LLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesARJ, LLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesARMC Physicians Care, Inc. dba Alamance Regional Psychiatric Associates Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonArnold E. Nelson, PhD Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonArt of Therapy Center, PLLC MSA Gaston Simona Kelly 704.785.5609 [email protected] Dana FrakesAscend Psychological Services, PLLC Contracted LIP Group Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 2 of 25

Page 3:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

AT-Home Counseling Services Contracted LIP Group Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonAutism Learning Partners, LLC Contracted Agency Los Angles Pam Hair 704.305.2097 [email protected] Dana FrakesAutism Services Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonAutism Services of Mecklenburg County Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAutism Society of North Carolina Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonAva Annette Horsley EOR Davidson Karen Glenn 336.403.4583 [email protected] Michael NortonAvalonia Group Homes, Inc. MSA Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAzure Psychotherapy, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesB and D Behavioral Health Services Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonB’s Effort Changing Counseling, PLLC Contracted LIP Group Salisbury Rebecca Harris 704.213.1293 [email protected] Dana FrakesBAART Community Healthcare, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBalance NC, LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesBaptist Children's Home of NC, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonBarium Springs Home for Children Contracted Agency Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonBathory International, PLLC Contracted LIP Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonBayada Home Health Care, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesBe Well Therapy, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesBe Whole Counseling and Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBeatties Ford Road Vocational Trade Center dba Beatties Ford Road Family Counseling Center Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesBeautiful Mind Behavioral Health Services, PLLC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonBehavior Consultation and Psychological Services, PLLC Contracted Agency Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonBehavioral Assessment Services, PLLC Contracted LIP Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBehavioral Services, Inc. Contracted Agency Surry Amy Berrier 336.608.8300 [email protected] Michael NortonBehavioral Transformations of NC MSA Wake Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Bert Lester Bennett, III dba Carolina Piedmont Psychological Associates Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonBest Day Psychiatry and Counseling, PC Contracted LIP Group Cumberland Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBetter Connections, Inc. Contracted Agency Edgecombe Mandy Padgett 252.820.9854 [email protected] Michael Norton

Better Days AHEAD of Rocky Mount, Inc. Contracted Agency Edgecombe Lenique Clark 704.437.8660 [email protected] Michael NortonBeyond Challenges Community Services, LLC Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonBHWC, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBIP - Behavior Intervention Professionals of the Triangle, PLLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBlack and Associates Global, Inc. (Our Home) Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonBluestone Psychotherapy, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesBlueWest Opportunites, Inc. Contracted Agency Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBobby Stillwagoner EOR Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonBody & Soul Total Wellness, PLLC MSA Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonBonnie Barnett Murphy, LMFT Contracted LIP Granville Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 3 of 25

Page 4:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Boys and Girls Homes of North Carolina, Inc. MSA Columbus Simona Kelly 704.785.5609 [email protected] Dana FrakesBrad Heinz, PhD Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonBreak Out, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBridges Therapeutic Services, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBridging The Gap Residential Services, LLC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonBrighter Days Counseling Services Contracted LIP Group Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesBroadstep Academy - South Carolina, Inc. Contracted Agency Out of State PRTF Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Broadview Health, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesBroken Pieces Services, LLC Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesBrothers Community Resources, LLC Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael NortonBrown Clinical Services Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBrynn Marr Hospital, Inc. Contracted Agency Onslow Miguel Sabillon 980.475.9039 [email protected] Dana FrakesBuilding Endurance, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBurlington Pediatrics, PA Contracted LIP Group Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonBurston's Consulting and Counseling Services, LLC Contracted LIP Group Rockingham Karen Glenn 336.403.4583 [email protected] Michael Norton

Butterfly Effects, LLC Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonBWELL Services, LLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesByrd Counseling & Consulting Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesC&M Behavioral Health, PLLC Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonC. Richardson Counseling and Consulting, PLLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCabarrus County Group Homes, Inc. Contracted Agency Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesCamino Community Development Corporation, Inc. dba Bethesda Health Cente Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCano Family Services, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCAPS 4 U, Inc. Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCaramore Community, Inc. Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonCare Well of Charlotte, NC, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarenet Inc. dba Baptist Hospital Carenet Counseling Center Contracted LIP Group Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCaring Hands and Supplementary Enrichment Education, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCarolina Behavioral Care, PA Contracted LIP Group Moore Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCarolina Center for Autism Services, LLC dba Carolina Center for ABA and Autism Treatment Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCarolina Child Psychology, PLLC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Community Behavioral Services, LLC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCarolina Community Support Services, Inc. Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Concierge Therapeutics, PLLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesCarolina Enhancement Services, LLC Contracted Agency Caswell Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Family Alliance Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCarolina Outreach, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 4 of 25

Page 5:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Carolina Parenting Solutions, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolina Residential Services, Inc. Contracted Agency Caldwell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCarolina Solution, Inc. Contracted Agency Hoke Tawanda Lewis 919.357.5564 [email protected] Michael NortonCarolina Therapeutic Services First, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolina Therapeutic Services, Inc. Contracted Agency Gaston Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolinaEast Medical Center MSA Craven Amy Berrier 336.608.8300 [email protected] Michael NortonCarolina's Creative Counseling, PA Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCarolinas Interactive Therapy, LLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCarolina's Therapy Solutions, PA Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCaroMont Medical Group dba CaroMont Psychiatric Associates Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCathartic Counseling Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCauthen Counseling and Consulting, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCenter for Emotional Health P.C. Contracted LIP Group Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCenter for Family & Maternal Wellness, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCenter for Pediatric Behavioral Health, PLLC MSA New Hanover Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCenter for Prevention Services Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCentral Community Services, LLC Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael NortonChampion Family Healthcare Services, LLC dba Keston Care Contracted Agency Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonChapel Hill Training Outreach Project, Inc. Contracted Agency Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonCharles Hines & Son, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonCharles Purvis EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesChatham County Group Homes, Inc. Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonChatham Recovery LLC Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonChatham Trades, Inc. Contracted Agency Chatham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChildren's Home Society of North Carolina, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChoose Life Counseling Services, PLLC Contracted LIP Group Surry Amy Berrier 336.608.8300 [email protected] Michael NortonChristen Verrori EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesChristian Fisher, LLC Contracted LIP Chatham Tawanda Lewis 919.357.5564 [email protected] Michael NortonChristian's House of Hope, Inc. MSA Five County Miguel Sabillon 980.475.9039 [email protected] Dana FrakesChristopher Abbey, LPC Contracted LIP Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesChrysalis Counseling (Kandace Noelle Koontz Perryman, LPC) Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChrysalis Development Solutions, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClaudia Melton, LPC, RPT. Contracted LIP Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonClear Sky Behavioral, LLC MSA McDowell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCliff Anderson, LPC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClimbing Jacob's Ladder, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonClinicians of Mecklenburg, LLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClub Nova Community, Inc. Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 5 of 25

Page 6:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

CNC/ACCESS Inc. dba ResCare HomeCare Contracted Agency Forsyth LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCoastal Behavior Health Services, Inc. Contracted Agency Cumberland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCoastal Horizons Center, Inc. Contracted Agency Pender Rebecca Harris 704.213.1293 [email protected] Dana FrakesCoastal Southeastern United Care, LLC MSA Brunswick LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCollaborative Hope Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCommunity Advancement Agency, LLC Contracted Agency Gaston Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCommunity Alternatives dba Community Choices, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCommunity Assisted Residential Environment (C.A.R.E.) Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonCommunity Care Service, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCommunity Counseling Services, PC Contracted Agency Person Ron Aldridge 336.514.7419 [email protected] Michael NortonCommunity Innovations Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonCommunity Link Counseling Services, LLC (formally Amelia Williams) Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonCommunity Specialized Services, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCommunity Support Service, LLC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCommunity Workforce Solutions, Inc. Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonCompassionate Care of North Carolina, LLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonComplete Well-Care Care Source, LLC MSA Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesComprehab, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesComprehensive Community Care, Inc. Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonComServ, Inc. Contracted Agency Caldwell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesConcrete Roses Life Center Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesConnect Center for Wellness, PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonConnecting the DOTS Treatment Services and Consultation Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesConsejeria Ruiz, PLLC (Naneth Ruiz, MA, LPCA, LCASA) Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonContinuum Care Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCook EOR Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesCora Strickland, LPC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonCore Essentials, LLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCorine's Care Management, Inc. MSA Greene Mandy Padgett 252.820.9854 [email protected] Michael NortonCornelia Pringle dba ATRA Counseling Services, PLLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCornerstone Health Care, LLC/ Cornerstone Behavioral Medicine/ Cornerstone Psychiatry Contracted LIP Group Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesCornerstone Healthcare Services, Inc. MSA Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCornerstone Psychological Services, PA Contracted LIP Group Caswell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCornerstone Treatment Facility Program, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesCornerstone Treatment Facility, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesCotswold Clinician Support Services, LLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCounseling Services, Inc. MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCounseling Wellness & Health, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 6 of 25

Page 7:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Covenant Case Management Services, LLC. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCozie's Supervised Living MSA Randolph Pam Hair 704.305.2097 [email protected] Dana FrakesCraig Hunt Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCrandell's Enterprises, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonCreative Counseling and Learning Solutions, PLLC Contracted LIP Group Stanly Simona Kelly 704.785.5609 [email protected] Dana FrakesCreative Counseling and Wellness Center Corporation Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonCreative Management Source, Inc. MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCriSys, LLC Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCross River NC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonCrossroads Treatment Center of Greensboro, PC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCrystal E. Nickerson dba Choice Behavioral Health & Consultation Services MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCW Counseling Services, Inc. Contracted LIP Group Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonCynthia D. Edwards, LCSW Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDani Johnson EOR Chatham Karen Glenn 336.403.4583 [email protected] Michael NortonDaniel P. Anthony, LPC dba Counseling Center at Providence Place Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonDavid L. Mount, LP dba Mind Body Institute Beyond Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDavid Rademacher, MA, Inc. Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Davidson Homes, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesDay by Day Family Services, LLC Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesDAYMARK Recovery Services, Inc. Contracted Agency Cabarrus Karen Glenn 336.403.4583 [email protected] Michael NortonDebby Huie Counseling, PLLC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesDee &G Enrichment Center, LLC MSA Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Delores Byrd/ Representative Justine Gladden- EOR Union Pam Hair 704.305.2097 [email protected] Dana Frakes

Delta Behavioral Group, PLLC.Contracted Agency Cabarrus Pam Hair 704.305.2097 [email protected]

Dana FrakesDenice M. Greene, LPC. Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesDenisa Hannah EOR Warren Lenique Clark 704.437.8660 [email protected] Michael NortonDenise D. Mitchell, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Desired Solutions and More, Inc. Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Despina Karras EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesDevelopmental Disabilities Resources, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesDiamonds Community Based Services, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesDiligent Care, Inc. MSA Moore Miguel Sabillon 980.475.9039 [email protected] Dana FrakesDiverse Family Services, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonDIVERSIFIED CHOICE Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonDr. Joseph V. Libera, PT Contracted LIP Caswell Karen Glenn 336.403.4583 [email protected] Michael NortonDr. Silva de Souza, PLLC dba Higher Ground Psychological Services Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 7 of 25

Page 8:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Dr. Tobias E. LaGrone, D. Min., Past. C., ICAADC, MAC, LCAS Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDragonfly Children's Advocacy Center Contracted LIP Group Davie Amy Berrier 336.608.8300 [email protected] Michael NortonDream Makers Assisted Living Services, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonDurham Exchange Club Industries, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonEach One Reach One Two Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesEagle Healthcare Services, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEason Court Group Home, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonEaster Seals UCP North Carolina & Virginia, Inc. Contracted Agency Wake Ron Aldridge 336.514.7419 [email protected] Michael NortonEboni Lanier Jones, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonEchelon Consulting, Inc. dba Echelon Care Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesEclectic Therapeutic Connections, PLLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEDH1, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesEducare Community Living Corporation of North Carolina dba Community Alternatives Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEdward Curlee, LPC, LCAS MSA Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEdwards' Assessment and Counseling, Inc. Contracted Agency Halifax Mandy Padgett 252.820.9854 [email protected] Michael NortonEdwards Community Support Services, Inc. MSA Greene Mandy Padgett 252.820.9854 [email protected] Michael Norton

El Futuro, Inc.Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected]

Michael NortonElaina Terry, MA, LPC, NCC Contracted LIP Granville Lenique Clark 704.437.8660 [email protected] Michael NortonElevated Family Services, LLC Contracted Agency Forsyth Ron Aldridge 336.514.7419 [email protected] Michael NortonEliada Homes, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesElite Care Services, Inc. Contracted Agency Stanly Simona Kelly 704.785.5609 [email protected] Dana FrakesElite Healthcare Group, Inc. Contracted Agency Forsyth Simona Kelly 704.785.5609 [email protected] Dana FrakesElizabeth Fouts EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonE-Motions Family Services, Inc. Contracted Agency Forsyth Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEmpowerment Quality Care Services, LLC. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesEnhancement Health Care, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonEnjonae Anderson dab Mended Hearts Counseling Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEnvisions of Life, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonEpiphany Care Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesEpiphany Family Services, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesEric Hall, Representative Karen Hall EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesEssential Assessments and Behavioral Health, PLLC Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesEventus Whole Health, PLLC Contracted LIP Group Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesExceptional Family Support Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Exclusive Caring Partners, LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesF.I.R.S.T. Contracted Agency Buncombe Miguel Sabillon 980.475.9039 [email protected] Dana FrakesFaith Counseling and Clinical Consultation Services, PLLC Contracted LIP Chowan Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 8 of 25

Page 9:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Faith Medical Center, PC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Falcon Crest Residential Care, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonFamilies First Support Services, LLC MSA Cleveland Simona Kelly 704.785.5609 [email protected] Dana FrakesFamily Advantage, LLC Contracted Agency North Hampton Lenique Clark 704.437.8660 [email protected] Michael NortonFamily Behavioral Health Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFamily Connections Counseling, PC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonFamily First Community Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesFamily Medicine & Rehabilitation Center, P.C. Contracted LIP Group Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonFamily Preservation Community Services Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonFamily Preservation Services of North Carolina, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesFamily Service of the Piedmont, Inc. Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFamily Services of America Corp. Contracted Agency Cumberland Simona Kelly 704.785.5609 [email protected] Dana FrakesFamily Services of Davidson County, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFamily Services, Inc. Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFamily Solutions, PLLC Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFast Braiin Oxford, LLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonFayetteville Street Community Living Home, LLC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael Norton

Fidelity Community Support Group, Inc. Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonFinding Solutions, Inc. Contracted LIP Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesFirst Genesis Family Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFirst Step Community Services, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFishback Psychological Services, PC Contracted LIP Group Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Fleshia W. Smalls dba Grace for Today Counseling and Community Service MSA Caswell Mandy Padgett 252.820.9854 [email protected] Michael NortonFocus Behavioral Health Services, LLC Contracted Agency Burke Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Forsyth County DSS Contracted LIP Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonForward Journey, PLLC Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonFoster's Care Facility, LLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonFreedom House Recovery Center, Inc. Contracted Agency Orange Lenique Clark 704.437.8660 [email protected] Michael NortonFreida and Graham Johnson Contracted Agency Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesFresh Start Today, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonFRIENDLY PEOPLE THAT CARE, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFullScope Counseling Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesFuture Vision/Vision House, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonGantt Youth and Family Services, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGaston Adolescent Center, Inc. Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesGaston Skills Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesGenesis Project 1, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 9 of 25

Page 10:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Genesis Residential Care Center, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonGenesis.. A New Beginning, Inc. Contracted LIP Group Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGeneva A. Henderson/Geneva A. Henderson MA, LPC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGentleHands of North Carolina, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonGeorge Popper, PH.D Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesGetting Ready, Inc. Contracted Agency Halifax Ron Aldridge 336.514.7419 [email protected] Michael NortonGHA Autism Supports Contracted Agency Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesGive Grace Youth & Family Counseling, PLLC Contracted LIP Forsyth Mandy Padgett 252.820.9854 [email protected] Michael NortonGrandfather Home for Children, Inc. Contracted Agency Avery Angela Gill-Graham 704.305.4871 [email protected] Michael NortonGreen Valley Haven, LLC MSA Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonGreg Yousey, MA, LPA Contracted LIP Rowan Rebecca Harris 704.213.1293 [email protected] Dana FrakesGuardian Angel Healthcare, LLC Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonH&W Enterprises of NC, LLC Contracted LIP Group Davie Amy Berrier 336.608.8300 [email protected] Michael NortonHANDS Center for Autism, LLC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonHarmony Health, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesHarvest Focused & Consulting Services, LLC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonHealing Helpers Therapeutic Services, PLLC Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonHealthy Moral Homes, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonHealthy Transformations Counseling, PC Contracted LIP Group Edgecombe Lenique Clark 704.437.8660 [email protected] Michael NortonHeartSpring, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesHeather Johnson EOR Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonHelping Hands MH/DD Services, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonHerbert Way of Living, LLC MSA Guilford Mandy Padgett 252.820.9854 [email protected] Michael NortonHicks House of Care, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonHigher Aspiration Behavioral Healthcare, LLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonHillsborough Recovery Solutions, PC Contracted Agency Orange Karen Glenn 336.403.4583 [email protected] Michael NortonHind's Feet Farm, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesHolly Gammon Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonHolly Rickman EOR Orange Angela Gill-Graham 704.305.4871 [email protected] Michael NortonHolt Assessment Services, LLC Contracted Agency Halifax Mandy Padgett 252.820.9854 [email protected] Michael NortonHoly Angels, Inc. Contracted Agency Gaston Ursula Cornwell 704.785.7521 [email protected] Dana FrakesHome for Family Intimacy, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesHome Rule, LLC MSA Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesHomeCare Management Corp. Contracted Agency Iredell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesHomer Edward Wright EOR Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonHope Center, LLC Contracted LIP Group Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesHope Colen Eor Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonHOPE Counseling & Consulting Services, Inc. Contracted LIP Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonHope Haven, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 10 of 25

Page 11:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Hope Services, LLC Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonHope Street Group Home LLC MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonHope Valley, Inc. Contracted Agency Surry Karen Glenn 336.403.4583 [email protected] Michael NortonHorizons Residential Care Center, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonHosford & Welsh Services, LLC Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesHouse of Care, Inc.. MSA Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonHouse of Support Counseling Services, PLLC Contracted LIP Group Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonHughes Center, LLC dba The Hughes Center for Exceptional Children MSA Danville City Rebecca Harris 704.213.1293 [email protected] Dana FrakesHuntersville Counseling Center, PLLC Contracted LIP Group Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesI Innovations, Inc. MSA Lee Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesI.C.A.R.E. Counseling Services (formerly Miranda Peoples, LPC) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonIdeal Response Services, LLC Contracted Agency Vance Ron Aldridge 336.514.7419 [email protected] Michael NortonIdella's Care Homes, LLC MSA Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonImpact Carolina Services, Inc. Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesInclusion Counseling Services, LLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonIndependent Case Management, Inc. Contracted Agency Chatham Karen Glenn 336.403.4583 [email protected] Michael NortonIndependent Opportunities, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesInfinite Possibilities, Inc. Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonInner Renovations Counseling, PLLC MSA Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonInner Transformation Therapeutic Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesInnerVision, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInnovacion Counseling Services (Madrid, Alex) Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesInnovative Compliance Solutions, LLC MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesInnovative Counseling Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesInnovative Lifestyle Network, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInnovative Support Services Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInPatient Consultants of North Carolina, P.C. Contracted LIP Group Wake Rebecca Harris 704.213.1293 [email protected] Dana FrakesInReach, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesInsight Human Services Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonInsight Professional Counseling Services, PLLC Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonInspirationz, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonInstitute of Art Therapy Contracted LIP Group Orange Mandy Padgett 252.820.9854 [email protected] Michael NortonIntegrated Behavioral Health Management, Inc. Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesIntegrated Behavioral Healthcare Services, PA MSA Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Integrated Family Services, PLLC Contracted Agency Hertford Lenique Clark 704.437.8660 [email protected] Michael NortonIntegrative Therapeutic Counseling Services Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesIntelliChoice Staffing, LLC Contracted Agency Pitt Lenique Clark 704.437.8660 [email protected] Michael Norton

Invictus of NC, Inc. Previously, Mills Counseling, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 11 of 25

Page 12:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Irenic Therapy, PLLC Contracted LIP Group Caswell Amy Berrier 336.608.8300 [email protected] Michael NortonJ.L. Redford, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonJ-1 Consultants, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonJackie Petty, MA, LPC dba Child and Family Therapy Contracted LIP Lee Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJacobs Counseling, Inc. Contracted LIP Group Lee Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJaesan, PC Contracted LIP Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJamie Lee Washington Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonJamila Freeman EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesJanice E. Helms, LPC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJeff Hinton EOR Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesJeremy Verrori EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Jessica Jeremiah dba Lakeside Psychotherapy, Trauma & Addiction Counseling Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Jewel Community Care, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael Norton

Jewish Family Services of Greater Charlotte, Inc. Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesJireh's Place Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

JM Counseling and Support Services, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

JMJ Enterprises, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonJoanne M. Schaffer, MSW, LCSW, PA Contracted LIP Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonJodi Province Counseling, PLLC Contracted LIP Group Wilkes Amy Berrier 336.608.8300 [email protected] Michael NortonJohn David Shanks, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonJohnson Counseling and Family Services, PLLC Contracted LIP Group Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesJohnson's House of Hope and Family Care Home MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonJonathan Jay Esslinger, LPC MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Joseph’s Community Support Services, Inc. MSA Lenoir Ron Aldridge 336.514.7419 [email protected] Michael NortonJOURNEYS COUNSELING CENTER PROFESSIONAL CORPORATION (SHIRENA SMITH) Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonJudith Dickens, LPC MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael Norton

Julie Daul, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonJust In Time Youth Services, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonKandace Andrews, LCMHC Contracted LIP Mecklenburg Pam Hair 704.305.2097 [email protected] Dana Frakes

Karen A. Rose, LCSW Contracted LIP Davie Amy Berrier 336.608.8300 [email protected] Michael NortonKaryetta L. Walker dba New Season Clinical Services Contracted LIP Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonKatherine Eden Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonKathy Kirstner Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonKatie Schroeder, MSW, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonKelly K. Anthony, PH.D. PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 12 of 25

Page 13:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Kernersville Counseling Center, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonKernersville Psychological Evaluation Services, PLLC. Contracted LIP Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesKerr Homes, Inc. Contracted Agency Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesKeshawn McCleod, LCSW Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonKevin and Theresa Trout EOR Granville Lenique Clark 704.437.8660 [email protected] Michael NortonKeys to Recovery Counseling Services, PLLC Contracted LIP Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonKids On Up Psychotherapy, Inc. dba Solomon Kobes, LCSW Contracted LIP Group Orange Ron Aldridge 336.514.7419 [email protected] Michael Nortonp , Care and Community Programs Contracted Agency

Out of State, sites in Durham Cumberland Wake

Lenique Clark 704.437.8660 [email protected] Michael NortonKimberly A. Scott, LCSW Contracted LIP Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonKMG Holdings, Inc. Contracted Agency Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonKnew Era Consulting, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Kopper Top Life Learning Center, Inc.Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected]

Michael NortonKris Sarrantonio EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesKristen Busick Sparks EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonL & J Homes, Inc. Contracted Agency Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonL&B Counseling (Morrow, Trent) Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLa Keisha Lighty, MSW, LCSW MSA Pasquotank Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLake Norman Psychological Services, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLakisha Harris dba Harris Counseling and Coaching Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesLaquana Richmond, LPC, LCAS, CCS, CSOTP Contracted LIP Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonLaverne's Haven Residential Home Services, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonLDH Counseling and Consulting, PLLC MSA Cleveland Pam Hair 704.305.2097 [email protected] Dana FrakesLeaders of Tomorrow, LLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLe'Chris Health Systems dba Le'Chris Behavioral Health Contracted Agency Edgecombe Mandy Padgett 252.820.9854 [email protected] Michael NortonLegacy Empowerment Services, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLegacy Human Services, Inc. Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonLiasons Community Care, LLC MSA Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLiberty Corner Enterprises, Inc. MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLife and Wellness Counseling and Consulting, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesLife Enrichment Center of Cleveland County, Inc. Contracted Agency Cleveland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesLife Opportunities Therapeutic Home Services, LLC MSA Robeson Chuckey Aiken 704.305.4821 [email protected] Dana FrakesLife Solutions Consulting, LLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesLife, Inc. Contracted Agency Wayne Tawanda Lewis 919.357.5564 [email protected] Michael NortonLifeChanges Family Guidance & Wellness, Inc. Contracted LIP Davidson Karen Glenn 336.403.4583 [email protected] Michael NortonLifeQuest, Inc. MSA Beaufort LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesLifesource of North Carolina, Inc. Contracted LIP Group New Hanover Simona Kelly 704.785.5609 [email protected] Dana FrakesLifespan, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 13 of 25

Page 14:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Lilyco Services, LLC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonLinda Montgomery EOR Stokes Karen Glenn 336.403.4583 [email protected] Michael NortonLindley Habilitation Services, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonLittle Gerald Services, LLC Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesLive Your Life CLT Counseling, PLLC dba Vida Counseling Center Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesLolly Therapeutics, LLC dba Pediatric Advanced Therapy Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLorven Child and Family Development, LLC Contracted LIP Group Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesLSJ Counseling and Clinical Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLSM Enterprizes Inc. dba Disability Management Services Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonLucy Daniels Center for Early Childhood Contracted LIP Group Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonLutheran Family Services in the Carolinas Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLutrino Blalock, MA, LPA Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonLYDIA'S HOME, LLC PHASE I Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLynette Johnson EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonLynn Norton-Ramirez EOR Orange Karen Glenn 336.403.4583 [email protected] Michael NortonM & M Special Services Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMacBill, Inc. MSA Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesMACTA, Inc. MSA Nash Mandy Padgett 252.820.9854 [email protected] Michael NortonMajestic Solutions, LLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonManaging Overwhelming Moments, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMarc Goldman Contracted LIP Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonMarguerita Sitrin Blaker, PA Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMarilyn Grubbs dba Healing Hearts Contracted LIP Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonMarilyn Morgan, LPMHC, LPCC MSA Brunswick Chuckey Aiken 704.305.4821 [email protected] Dana FrakesMarina L. Ervin, MS, LPC, NCC, BCPCC Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonMark S. Cadavero, LCSW Contracted LIP Cherokee Rebecca Harris 704.213.1293 [email protected] Dana FrakesMarsh's Residential Living MSA Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMary Willis Page, MA, LPA Contracted LIP Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMasterPeace Counseling and Development Center Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesMatchbox Health Services Corporation Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonMaxim Healthcare Services, Inc. Contracted Agency Guilford Lenique Clark 704.437.8660 [email protected] Michael NortonMcCloud Acosta Clinical Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesMcDaniel Homes, LLC Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonMcLeod Addictive Disease Center, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMcNiel Family Counseling & Services, LLC. Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesMecklenburg County Community Support Services Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMedTrac Solutions Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMelissa Stopa EOR Orange Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMelody Poli EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 14 of 25

Page 15:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Melvin R. Battle, LPC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMental Health Associates of the Triad Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonMeridian Behavioral Health Services, Inc. MSA Jackson Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMeridian Support Services, LLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesMetis Counseling Group, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonMichelle Cannon/ Representative Dale Cannon EOR Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonMichelle Wellborn EOR Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMichelle Whitfield, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonMilling Manor, Inc. Contracted Agency Davie Amy Berrier 336.608.8300 [email protected] Michael NortonMiracle Houses, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMiracles Healing Center, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMiranda Meaders, MA, LPA Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesMiranda Page Morgan, LCSW Contracted LIP Orange Karen Glenn 336.403.4583 [email protected] Michael NortonMirror 2 the Heart, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesModern Treatment Healthcare Services, PLLC Contracted LIP Burke LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMoments Matter Therapeutic Solutions (fka Aneesah Thomas, LPC) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonMonarch Contracted Agency Stanly Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMonroe Therapy Services, PLLC Contracted LIP Group Union Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesMore Than Conquerors Youth Center Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael Norton

Morgan Support Services, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonMorse Clinic of North Raleigh, PC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonMorse Clinic of Roanoke Rapids, PC Contracted Agency Halifax Tawanda Lewis 919.357.5564 [email protected] Michael NortonMorse Clinic of Zebulon, PC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Mosaic Group, LLC dba Mosaic Pediatric Therapy, LLC Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMoss Counseling Services, PLLC (Moss, Beverly) Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesMulticultural Resources Center, Inc. Contracted Agency Cumberland Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesMulti-Therapeutic Services, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMy B.R.O.T.H.E.R.S. House, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMy Therapy Place, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonNazareth Children's Home, Inc. Contracted Agency Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNC Division of Vocational Rehabilitation Services dba Assistive Technology Program Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonNeal Counseling Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNekisha Williams dba Access Counseling Services, PLLC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonNelitza Gonzalez dba New Bridge Counseling Services Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonNeuropsychiatric Care Center, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonNeuse Enterprises, Inc. MSA Lenoir Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Nevins, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 15 of 25

Page 16:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

New Beginnings Day Treatment Center, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonNew Beginnings Group Home Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonNew Destinations, Inc. Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonNew Hope Carolinas, Inc. Contracted Agency Out of State- Charleston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesNEW HORIZONS ADULT DAY SERVICES Contracted Agency Yadkin Amy Berrier 336.608.8300 [email protected] Michael NortonNew Leaf Adolescent Care, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesNew Leaf Behavioral Health, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonNew Mentality P.C. Contracted LIP Group Iredell Pam Hair 704.305.2097 [email protected] Dana FrakesNew Place, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNew Possibilities Homes for Children, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonNew Vision Therapy, PLLC Contracted LIP Group Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonNo Bounds Care, Inc. Formerly K'nCryst Healthcare Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesNorth Carolina Life of Rehabilitation, Inc. Contracted Agency Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesNorth Carolina Neuropsychiatry, PA Contracted LIP Group Orange Karen Glenn 336.403.4583 [email protected] Michael NortonNorth Carolina Outreach Group Homes, LLC Contracted Agency McDowell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNorthern Piedmont Counseling, PLLC Contracted LIP Group Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesNOVA Inc. Contracted Agency Lenoir Mandy Padgett 252.820.9854 [email protected] Michael NortonNow Counseling and Consulting Services Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNSC Behavioral Concepts, LLC Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesNuMe Counseling & Consulting, LLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonNuVizions, LLC Contracted Agency Hertford Tawanda Lewis 919.357.5564 [email protected] Michael NortonOasis Clinical Care Management, LLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesOasis: A Holistic Network, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonOctober Road, Inc. MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesOE Enterprises, Inc. Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonOliver's Contracting Consulting & Counseling Services (White, Janet) Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOmni Visions, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonOna's Place, Inc. MSA Buncombe Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesOne Love Periodic Services, Inc.. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesOne On One Care, Inc. MSA Cleveland LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOpen Door Psychological Services, PLLC (Glascock, Valerie) Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesOptimal Behavioral, PLLC Contracted Agency Halifax Ron Aldridge 336.514.7419 [email protected] Michael NortonOptimal Behavioral, PLLC Contracted Agency Halifax Tawanda Lewis 919.357.5564 [email protected] Michael NortonOuter Planetary Touch, Inc. dba Brighterday Theraplay Contracted LIP Group Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesOutreach Management Services, LLC MSA Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOutward Bound Community Services Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonP&G Clinical Services, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesP&W Group, LLC Contracted Agency Vance Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 16 of 25

Page 17:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Paramount Holistic Mental Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPath of Hope, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPathways for People, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonPathways Group Homes, LLC MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesPathways to Life, Inc. Contracted Agency Pitt Lenique Clark 704.437.8660 [email protected] Michael NortonPatricia O. Sprouse, LPC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonPatrick Shawn Murphy, MA, LPC, NCC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Peaceful Places, Inc. Contracted LIP Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesPeaceful Soul Counseling and Group Therapy, PLLC Contracted LIP Group Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPeak Professional Group, PLLC Contracted LIP Group Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonPeak Wellness Clinic, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesPeculiar Counseling & Consulting, PLLC MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPediatric and Family Behavioral Health Acquisition Group, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPerson County Group Homes, Inc. Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPerson County Schools dba Early Intervention and Family Services Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPerson Industries Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPeter-Elst, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Phoenix Counseling Center MSA Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

PHP of NC, Inc. Contracted Agency Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPiney Ridge Treatment Center LLC MSA Out of State Chuckey Aiken 704.305.4821 [email protected] Dana FrakesPinnacle Counseling Services, PLLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonPinnacle Family Services of North Carolina, LLC (Formerly National Mentor HealthCare, LLC, dba NC Mentor) Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonPinnacle Point Supportive Services, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesPORT Health Services Contracted Agency Pitt Tawanda Lewis 919.357.5564 [email protected] Michael NortonPositive Behavior Supports Corporation Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesPositive Connection Care Inc. MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPQA Healthcare Services, Inc. Contracted Agency Surry Karen Glenn 336.403.4583 [email protected] Michael Norton

Praising Hands, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPrecious Haven, Inc. MSA Cumberland Simona Kelly 704.785.5609 [email protected] Dana FrakesPremier Healthcare Services, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesPremiere Health and Wellness Medical Center, PLLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonPRIDE in North Carolina, LLC Contracted Agency Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonPrimary Care Solutions, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesPrimary Health Choice, Inc. MSA Scotland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesPriorities ABA, PLLC Contracted Agency Pitt Karen Glenn 336.403.4583 [email protected] Michael NortonProCure Therapeutic Agency, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 17 of 25

Page 18:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Professional Family Care Services, Inc. MSA Cumberland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesProgressive Recovery Resources, LLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesProject 658, Inc. dba Smith Family Wellness Center Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesPsychiatric Services of the Carolinas, PC Contracted LIP Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesPsychological Mobile Services, PA Contracted Agency Wilson Lenique Clark 704.437.8660 [email protected] Michael NortonPsychotherapeutic Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Public Health Authority of Cabarrus County dba Cabarrus Health Alliance Contracted Agency Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesPush Consultants LLC dba All Things are Possible 4 Autism Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonQC Counseling Services, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesQC Psychology, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesQuality Care lll, LLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonQuality Care Solutions, Inc. MSA Wake Lenique Clark 704.437.8660 [email protected] Michael NortonQuality Home Care Services, LLC Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesQuest Provider Services, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesRachel's House Contracted Agency Bertie Lenique Clark 704.437.8660 [email protected] Michael NortonRae's Playze Adult Day Center Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesRainbow 66 Storehouse, Inc. Contracted Agency Scotland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRainey Psychological Services, PC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesRaleigh Psychological Associates, Inc. Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonRalph Scott Lifeservices, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonRapha House MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesRBC Health Care Solutions, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonRecovery Innovations of NC, Inc. Contracted Agency Vance Mandy Padgett 252.820.9854 [email protected] Michael NortonReliable Health Services, Inc Contracted LIP Group Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonREMMSCO, Inc. Contracted Agency Rockingham Karen Glenn 336.403.4583 [email protected] Michael NortonRenaissance Wellness Services, LLC Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonReNew Support Services, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesRenu Life, LLC/Renu Life Extended, Inc. Contracted Agency Wayne Mandy Padgett 252.820.9854 [email protected] Michael NortonResidential Services, Inc. Contracted Agency Orange Karen Glenn 336.403.4583 [email protected] Michael NortonResidential Treatment Services of Alamance, Inc. Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonResolution: Counseling & Development Services Contracted LIP Group Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonRestore Healthcare Medical Group, Inc. Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRestoring Bodies and Minds, LLC Contracted Agency Granville Mandy Padgett 252.820.9854 [email protected] Michael NortonRHA Behavioral Health NC, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonRHA Health Services NC, LLC Contracted Agency Buncombe Karen Glenn 336.403.4583 [email protected] Michael NortonRHA Health Services, Inc. Contracted Agency Buncombe Karen Glenn 336.403.4583 [email protected] Michael NortonRight Choice Services, LLC Contracted Agency Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 18 of 25

Page 19:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Rising Hope Clinical Assistance, LLC Contracted Agency Mecklenburg Amy Berrier 336.608.8300 [email protected] Michael NortonRising Phoenix, Inc. MSA Guilford Mandy Padgett 252.820.9854 [email protected] Michael NortonRoanoke Valley Adult Day Center Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonRobeson Health Care Corporation Contracted Agency Robeson Tawanda Lewis 919.357.5564 [email protected] Michael NortonRobin E. Dock, PhD Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonRobin Fitzgerald, LPC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonRochelle Jones, LCSW Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesRolanda J. Abney, LCSW Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRoslyn Russell, LPC dba Russell's Counseling Services Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonRouse's Group Home II, Inc. Contracted Agency Rockingham Karen Glenn 336.403.4583 [email protected] Michael NortonRowan Psychiatric and Medical Services, PA Contracted LIP Group Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesRowan Vocational Opportunities, Inc. Contracted Agency Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesRoyal Child Academy Company Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesRusMed Consultants, LLC Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonRyan Draper EOR Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonRyan's Place, LLC Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesS & T WeCare, Inc. MSA Cumberland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesS&H Youth and Adult Services, Inc. Contracted Agency Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesS&L Home Care Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonS. Purcell Counseling, PC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonS. Shannon Smith, LCSW Contracted LIP Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonS.T.E.P.s Developmental Academy, Inc. Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSafe Haven Child and Family Counseling Services Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSafiyyah Feaster, LCSW Contracted LIP Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSalisbury Pediatric Associates, PA Contracted LIP Group Rowan Ursula Cornwell 704.785.7521 [email protected] Dana FrakesSalisbury Psychiatric Associates, P.C. Contracted LIP Group Rowan Ursula Cornwell 704.785.7521 [email protected] Dana FrakesSamuel Harrison EOR Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSandhills Alternative Academy, LLC MSA Richmond Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSandhills Pediatrics, Inc. MSA Moore Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSandra Cifuentes dba Mindful Healing Counseling Contracted LIP Cabarrus Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSandra Wickham, CSW, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonSantana Therapy & Counseling, PLLC Contracted LIP Group Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSaved Foundation Inc. Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSaving Grace Outreach, LLC MSA Hoke Rebecca Harris 704.213.1293 [email protected] Dana FrakesSBH Raleigh, LLC dba Strategic Behavioral Center- Garner Contracted Agency Wake Karen Glenn 336.403.4583 [email protected] Michael NortonSBH Wilmington, LLC dba Carolina Dunes Behavioral Health Contracted Agency Brunswick Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSecuring Resources for Consumers, Inc. Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonSelena and Karl Davis EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 19 of 25

Page 20:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Selfless Foundation, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSenior Health and Education Partners, PLLC Contracted LIP Durham Lenique Clark 704.437.8660 [email protected] Michael NortonSerendipity Therapy, PLLC Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesSerenity Counseling & Resource Center, Inc. Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Serenity Counseling of the Carolinas, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSevenhill Associates, P.A. Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonShar's Auspicious Care, LLC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonShawn Causby dba Waxhaw Whole Health Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesShawtay Reese LCSW, LCAS Contracted LIP Warren Mandy Padgett 252.820.9854 [email protected] Michael NortonShekita Brown Counseling and Consulting, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSherille Barber dba Barber Therapy & Associates Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSherita Crews, PLLC Contracted LIP Group Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesSHG Consultants, Inc. Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesShifting Paradigms Counseling and Consulting, PC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesShine Counseling, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesShiricka Fair dba Provisions Counseling Services Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSierra's Residential Services, Inc. MSA Harnett Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSigma Health Services, LLC Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSims Consulting and Clinical Services, Inc. Contracted Agency Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSims Training and Wellness Center, Inc.. Contracted LIP Group Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSkill Creations, Inc. Contracted Agency Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonSolaz, LLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonSOLO Behavioral Health Services, PLLC Contracted LIP Group Chatham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSolutions Community Support Agency, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSoul Care, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSouth Point Counseling, LLC Contracted LIP Group Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesSoutheastern Healthcare dba Southeastern Adult Day Center, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSouthern Family Medicine, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Southlight Healthcare Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonSouthmountain Children and Family Services MSA Burke Pam Hair 704.305.2097 [email protected] Dana FrakesSPARC Services and Programs, LLC Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Speech Matters, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSPIGNER MANAGEMENT SYSTEMS, INC. dba B J Hill and Associates Contracted Agency Cumberland Rebecca Harris 704.213.1293 [email protected] Dana FrakesSpring Life Behavioral Care, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonSpringwell Network, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonStan B Treatment Services, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 20 of 25

Page 21:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Standards-Based Solutions Behavioral Health Consulting & Management LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonStanley Harris EOR Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesStatewide Mental Health & Disability Services, PLLC Contracted LIP Nash Lenique Clark 704.437.8660 [email protected] Michael NortonStep by Step Care, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonStephen P. Polak, MA, LPC Contracted LIP Granville Lenique Clark 704.437.8660 [email protected] Michael NortonStill Family , LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesStraight Walk Family Services, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonStrategic Interventions, LLC Contracted Agency McDowell Rebecca Harris 704.213.1293 [email protected] Dana FrakesStrengthening Foundations Child & Family Counseling, PLLC MSA Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonStructured Family Interventions, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonSuccessful Solutions, MHS, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonSuccessful Transitions, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunflower Therapeutic Solutions, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesSunlight Behavior Center, Inc. MSA Cumberland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSunpath, LLC Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesSunrise ABA & Autism Services, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunrise Clinical Associates, PLLC Contracted Agency Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunrise Residential Care, LLC MSA Cumberland Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSupport, Inc. Contracted Agency Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesSupreme Compassionate Care, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSusanne Saunders, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonSwan's Therapeutic Services, PLLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonSYLVANGLADE SERVICES, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton

Synergy Care and Counseling, PLLC (fkaDeAnna C. Murphy MA, LPC, LCAS-A) Contracted LIP Orange Ron Aldridge 336.514.7419 [email protected] Michael Norton

Talya Mazor, LCSW (formerly Talya Mazor dba Triangle Counseling)Contracted LIP Orange Mandy Padgett 252.820.9854 [email protected]

Michael NortonTamikia Greene, LPC Contracted LIP Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTammy Juntunen, LPA Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonTeal Peoples Holistic Counseling & Consultation, PLLC. Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesTed Bissette dba Piedmont Agency Counseling Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Tender Loving Care Homes Inc. dba NC Brookhaven Behavioral HealthContracted Agency Buncombe Thaddeus Dowson 704.783.6331 [email protected]

Dana FrakesTerrence Lamar Lassiter, LPC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesTGH Behavioral Health Services, Inc. Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThe ARC of Davidson County, Inc. Contracted Agency Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesThe Arc of High Point MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonThe ARC of North Carolina, Inc. Contracted Agency Wake Pam Hair 704.305.2097 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 21 of 25

Page 22:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

The ARC of Rowan County, Inc. Contracted Agency Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesThe ARC of the Triangle, Inc. Contracted Agency Orange Mandy Padgett 252.820.9854 [email protected] Michael NortonThe ARC of Union County, Inc. Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThe Bridge Consulting Group, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Bruson Group, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonThe Building Blocks Center, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonThe Carter Clinic, PA Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonThe Center for Child and Family Health, Inc. Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Center for Creating Opportunities, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonThe Crossnore School, Inc. Contracted Agency Avery Amy Berrier 336.608.8300 [email protected] Michael NortonThe Enhancement Center, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Enrichment Center- An Affiliated Chapter of the Arc Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonThe Harambee Group 2, Inc.. MSA Burke Pam Hair 704.305.2097 [email protected] Dana FrakesThe Holding Space, PLLC Contracted LIP Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesThe HOPE Centre for Advancement, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonThe Kid's Workshop, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesThe Legacy Team, LLC Contracted LIP Person Lenique Clark 704.437.8660 [email protected] Michael NortonThe Mental Health Fund dba Catawba Valley Behavioral Healthcare Contracted Agency Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesThe Methodist Home for Children, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonThe Neil Group, Inc. Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonThe Promise Group, LLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesThe Unique Caring Foundation, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesThe Village Behavioral Healthcare Services, Inc. Contracted Agency out of state Pam Hair 704.305.2097 [email protected] Dana FrakesThe Village Behavioral Healthcare Services, Inc. dba One Village Behavioral Healthcare Services, Inc. Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesThe Workshop of Davidson, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTherapeutic Alternatives, Inc. Contracted Agency Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTherapeutic Family Solutions, PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonTherapeutic Resources Associates, PA Contracted LIP Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonTherapeutic Services Group, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesTherapeutic Specialties of North Carolina, LLC Contracted LIP Group Vance Lenique Clark 704.437.8660 [email protected] Michael NortonTheresa Syros EOR Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonThompson Child & Family Focus Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesThreshold, Inc. MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThrive Counseling Services, PLLC Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThriving On Purpose, PLLC Contracted LIP Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesThursher Goodman Winstead Carehome Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonTiffany L. Harris Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesTimber Ridge Treatment Center Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 22 of 25

Page 23:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Timeka Southerland, LPC, CSOTS, dba Southerland Treatment and Rehabilitation (STAR Counseling Services) Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Timeless Solutions Counseling Services, PLLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesTimothy Pittman Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTimothy Smithers EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonToni J Adcock, EOR Representative EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesTonya D. Armstrong, PLLC dba The Armstrong Center for Hope Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonTonya Omar, PLLC dba The Aya Center Contracted LIP Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonTop Priority Care Services, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTouchstone Residential Services Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonTranscending Limits Counseling Services, PLLC (fka Chantelle Rene Hopkins, LPC) Contracted LIP Group Wake Ron Aldridge 336.514.7419 [email protected] Michael NortonTransformative Life Center, LLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

Transitions Therapeutic Care, LLC (fka Transitions Mentoring Services, LLC) Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTrauma Assessment & Treatment Center Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Treatment Centers, LLC Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

TRG Health Care Systems, LLC dba OneCare Behavioral Health System Contracted Agency Wake Karen Glenn 336.403.4583 [email protected] Michael Norton

Triad Coordinated Services, Inc. Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonTriad Medical Group PA Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Triad Psychiatric and Counseling Center, PA Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton

Triad Telecare, Inc. dba Country Club Day Activity Contracted Agency Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTRIAD THERAPY MENTAL HEALTH CENTER, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Triangle Comprehensive Health Services, Inc. Contracted Agency Wayne Lenique Clark 704.437.8660 [email protected] Michael Norton

TriCare Counseling & Consulting, Inc. Contracted Agency Harnett Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTrinity Behavioral Healthcare, PC (f/k/a Simrun Health Services, Inc.) Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Trinity Christian Counseling, PLLC-Tonya Moore Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTrinity House, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonTrinity Wellness & Community Care, LLC Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTurning Point Homes, Inc. Contracted Agency Iredell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTwo Paths Crossing, LLC Contracted LIP Wake Lenique Clark 704.437.8660 [email protected] Michael NortonTy Kays, LPC Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonUltra Violet Mental Health, PLLC formerly Natalie Errant, PMH-NP Contracted LIP Group Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

UMAR Services, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesUNC Faculty Physicians, TEACCH & UNC School of Medicine (SOM) Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 23 of 25

Page 24:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Union County Public Schools Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnion Diversified Industries Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnion Family Services, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnique Caring Network Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesUnited Family Network, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonUnited Living, LLC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonUnited Quest Care Services, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonUnited Support Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesUniversal Mental Health Services, Inc. Contracted Agency Caldwell Pam Hair 704.305.2097 [email protected] Dana FrakesUplift Comprehensive Services, Inc. Contracted Agency Bertie Lenique Clark 704.437.8660 [email protected] Michael Norton

Urban Clinical Care, P.C Contracted LIP Person Ron Aldridge 336.514.7419 [email protected] Michael NortonValera Counseling Services, PLLC Contracted LIP Group Forsyth Angela Gill-Graham 704.305.4871 [email protected] Michael NortonValiant Families, PC Contracted LIP Nash Mandy Padgett 252.820.9854 [email protected] Michael NortonValley Center for Life Enrichment Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonVance Recovery, PC Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonVatogna Steward, PLLC dba Therapy to Inner Peace Center Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Veleka Y. Barbee Therapy Services, Inc. Contracted LIP Group Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesVeronica Glaspie EOR Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonVirginia Goodson EOR Vance Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Virpark, Inc. MSA Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonVision Behavioral Health Services, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonVisions Counseling Studio, PLLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael Norton

VOCA Corporation of North Carolina dba Community Alternatives of NC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Voice for Children and Nurturing Families, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonWaite Psychological and Therapeutic Services, PLLC Contracted LIP Group Durham Lenique Clark 704.437.8660 [email protected] Michael NortonWake Enterprises, Inc. MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonWake Forest Counseling Associates, PLLC Contracted LIP Wake Lenique Clark 704.437.8660 [email protected] Michael NortonWalkers Group Home, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesWanda Burger, LPC, LCAS Contracted LIP Henderson Amy Berrier 336.608.8300 [email protected] Michael NortonWayne Dankner EOR Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonWellSpace Counseling & Consulting, PLLC (fka Shannon Harty) Contracted LIP Group Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonWescare Professional Services, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonWest Counseling, PLLC Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesWhat Matters Most, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesWhetstone Counseling and Counseling Services, PLLC Contracted LIP Group Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesWhispering Willows Counseling Services, PLLC Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 24 of 25

Page 25:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Wilson Professional Counseling, PLLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesWilson's Constant Care, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonWolfe & Jackson Group Home, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonWomen, Children and Family Counseling Service, PLLC Contracted LIP Group Vance Lenique Clark 704.437.8660 [email protected] Michael NortonWoodridge of Missouri, Inc. MSA Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesWrights Care Services, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonYelena Kalyuzhnaya EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesYelverton's Enrichment Services, Inc. MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonYouth Builders, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonYouth Enrichment Group Home, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonYouth Enrichment Services of LKN, Inc. Contracted LIP Iredell Pam Hair 704.305.2097 [email protected] Dana FrakesYouth Extensions, Inc. MSA Durham Karen Glenn 336.403.4583 [email protected] Michael NortonYouth Haven Services, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonYouth Unlimited Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonYouth Villages, Inc. Contracted Agency Out of state corporate office Pam Hair 704.305.2097 [email protected] Dana FrakesZenith Hope Center, LLC Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesZephaniah Services, PLLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonZOE: Behavior Health Services, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 25 of 25


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