Individual provider Active NPI

Lacemond Banks

  • Addiction (Substance Use Disorder) Counselor
  • Wilson, NC
National Provider Identifier
1023490109
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22070 Issued in NC
Practice address
3904 Airport Dr NW
Wilson, NC 27896-8040
Phone
(919) 949-5544
NPI assigned
Jun 24, 2015
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X
Secured Medical Transport (VAN) 343800000X
Secured Medical Transport (VAN) 343800000X 465435628 NC
Non-emergency Medical Transport (VAN) 343900000X
Bus 347B00000X
Bus 347B00000X 465435628 NC
Private Vehicle 347C00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 22070 NC Primary

Addresses

Primary practice location

3904 Airport Dr NW
Wilson, NC 27896-8040

Mailing address

PO Box 2071
Wendell, NC 27591-2071
Phone (919) 949-5541

Other practice location 1

2501 Airport Blvd NW
Wilson, NC 27896-9673
Phone (252) 674-1812

Other practice location 2

1760 Parkwood Blvd W
Wilson, NC 27893-3679
Phone (919) 949-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22070NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Start Medical Transportation, Incorporated Ambulance Current Accepting new patients
Stepping Stones Community Resources, Incorporated Addiction (Substance Use Disorder) CurrentSince Oct 1, 2017 Accepting new patients
Stepping Stones Community Resources, Incorporated CurrentSince Feb 12, 2024 Accepting new patients
Stepping Stones Community Resources, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1760 Parkwood Blvd W
Wilson, NC 27893
Phone (919) 269-9300

2501 Airport Blvd NW
Wilson, NC 27896
Phone (252) 678-8894

3904 Airport Dr NW
Ste A
Wilson, NC 27896
Phone (919) 239-9300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15472/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1023490109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2071",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275912071",
            "telephone_number": "919-949-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 AIRPORT DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968040",
            "telephone_number": "919-949-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Airport Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278969673",
            "country_code": "US",
            "telephone_number": "252-674-1812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Parkwood Blvd W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933679",
            "country_code": "US",
            "telephone_number": "919-949-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LACEMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NC",
            "license": "465435628",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NC",
            "license": "465435628",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.