True Outreach Program Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TRUE OUTREACH PROGRAM SERVICES

Practice address

2949 New Bern Ave Ste 109B
Raleigh, NC 27610-1248

Phone

(919) 306-0809

Fax

(919) 212-8158

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ladonna Clark, LCAS, CCS, SAPNPI 1851576789

Title

Program Manager

Phone

(919) 306-0809

Specialties & licenses 2

Addresses

Locations

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.

• Ladonna M Clark, MA, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1851576789
  NPD Authorized official

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1184457475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE STE 109B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-306-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE STE 109B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-306-0809",
            "fax_number": "919-212-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE OUTREACH PROGRAM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "919-306-0809",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCAS, CCS, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.