Passages to Recovery, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PASSAGES TO RECOVERY, LLC

Practice address

201 N Wilson Avenue #D
Dunn, NC 28334

Phone

(919) 799-8909

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica Letisha CampbellNPI 1568889681

Title

Executive Director

Phone

(919) 799-8909

Specialties & licenses 3

Addresses

Other names 1

• Passages to Recovery, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Letisha Campbell, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1568889681
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1013549229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TIMBER DR STE 194",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292571",
            "telephone_number": "919-799-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WILSON AVENUE #D",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "919-799-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LETISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-799-8909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passages to Recovery, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaylan R Parikh, MD
• Anthony Jerome Parker, D.O
• Sandy Kay Parker, R.N.
• Vicki S Parker, PHD
• Brittany Cutts Parson, PT, DPT
• Ashvi Patel
• Krusha Patel, MD
• Sunny Patel, MD
• Tishani Patel
• Patrick Gray Obstetrics & Gynecology, PC

• Mental Health Counselor in Dunn, NC
• Providers in Dunn, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.