Active NPI
Lacemond Banks
- Addiction (Substance Use Disorder) Counselor
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22070
- Practice address
- 3904 Airport Dr NW
Wilson, NC 27896-8040 - Phone
- (919) 949-5544
- NPI assigned
- Jun 24, 2015
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22070 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Start Medical Transportation, Incorporated | Ambulance | Current | Accepting new patients |
| Stepping Stones Community Resources, Incorporated | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Stepping Stones Community Resources, Incorporated | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Wilson, NC
- NPI 1437419348
Addiction (Substance Use Disorder)
-
dba Stepping Stones Primary Care
- Clinic/Center
- Wilson, NC
- NPI 1639603681
-
- Counselor
- Zebulon, NC
- NPI 1861830986
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.