James Adam Lassiter, MS, CCS, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Selma, NC
NPI 1043485014 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1043485014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1404 (NC)
- Practice address
- 602 S Sumner St
Selma, NC 27576-2947 - Phone
- (919) 965-5548
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1404 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 349 | NC | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 349 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1404 | NC | Yes |
Addresses
Primary practice location
602 S Sumner St
Selma, NC 27576-2947
Mailing address
602 S Sumner St
Selma, NC 27576-2947
Phone (919) 965-5548
Other providers in Selma, NC
- Justin R. Barbaro DDS, PLLC
- Kim J Kelly
- Mangaraju Kolluru
- Lane Home
- Anna Lanier-Comar
- Latch Makers
- Arieal Lee
- Little Inspirations Developmental Services
- Victoria F. Lucking
- Matthew Ryan McDonald
All providers in Selma, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.