Organization Active NPI

Western Wake Treatment Center

  • Community/Behavioral Health Agency
  • Apex, NC
National Provider Identifier
1205365574
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
092918 Issued in NC
Legal business name
WESTERN WAKE TREATMENT CENTER
Practice address
2172 N. Salem Street
Suite 105
Apex, NC 27523
Phone
(919) 629-4360
Fax
(919) 629-4362
NPI assigned
Jun 8, 2017
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mr. Timothy Lamont Gunn
Title
Regional Director
Phone
(919) 629-4360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 092918 NC Primary

Addresses

Primary practice location

2172 N. Salem Street
Suite 105
Apex, NC 27523

Mailing address

2172 N Salem St Ste 105
Apex, NC 27523-6457
Phone (919) 629-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319000557 NC Part B Supplier - Opioid Treatment Program (Otp) 4981032216 Practice locations: Apex, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2114788Western Wake Treatment Center2172 N Salem Street, Apex, NC 27523Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

2172 N Salem St
Ste 105
Apex, NC 27523
Phone (919) 629-4360

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1205365574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 N SALEM ST STE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275236457",
            "telephone_number": "919-629-4360",
            "fax_number": "919-629-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 N. SALEM STREET",
            "address_2": "SUITE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27523",
            "telephone_number": "919-629-4360",
            "fax_number": "919-629-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAKE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "919-629-4360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "092918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.