Active NPI
Focused Addiction Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Wallace, NC
National Provider Identifier
1053052134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- FOCUSED ADDICTION RECOVERY LLC
- Practice address
- 102 W Main St
Wallace, NC 28466-2902 - Phone
- (630) 334-2019
- NPI assigned
- Apr 5, 2022
- Last updated
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Andrew Ference Jr.
- Title
- Ceo
- Phone
- (630) 334-2019
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X |
Addresses
Primary practice location
102 W Main St
Wallace, NC 28466-2902
Mailing address
102 W Main St
Wallace, NC 28466-2902
Phone (630) 334-2019
National Provider Directory
National Provider Directory- Tax ID family
- Focused Addiction Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Wallace, NC
- NPI 1114789666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Wallace, NC
- NPI 1699169748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1053052134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W MAIN ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284662902",
"telephone_number": "630-334-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W MAIN ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284662902",
"telephone_number": "630-334-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUSED ADDICTION RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "FERENCE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-334-2019",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallace, NC
- DGH-Ech Partnership LLC (Wallace Family Medicine)
- Sarah Elizabeth Dorsey, FNP-C
- Duplin Health Care Services, LLC
- Five Star Investments, Inc (DaySpring Assisted Living)
- Five Star Investments, Inc. (GoldenCare)
- Focused Addiction Recovery LLC
- Mary A Frankos, M.D.
- Little Garcia
- Rebecca Banks Gilbert, DNP, FNP-BC
- Glover Enterprizes LLC (GTS Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.