Individual provider Active NPI

Stephanie Nicole Wainwright, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Reidsville, NC
National Provider Identifier
1023705472
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-29054 Issued in NC
Practice address
696 S Scales St
Reidsville, NC 27320-5024
Phone
(833) 510-4357
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29054 NC Primary
Professional Counselor 101YP2500X 26562 NC

Addresses

Primary practice location

696 S Scales St
Reidsville, NC 27320-5024

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other names 1

  • Stephanie Nicole Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411000794 NC Practitioner - Mental Health Counselor 7416471487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-29054NCMDAddiction (Substance Use Disorder) Counselor
26562NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

341 N Fayetteville St
Asheboro, NC 27203
Phone (336) 629-8896

311 Hill St
Murphy, NC 28906
Phone (828) 835-2420

696 S Scales St
Reidsville, NC 27320

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1023705472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205024",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29054",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "26562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "POWELL",
            "middle_name": "NICOLE",
            "credential": "LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.