Keane Quantaze Sauls Sr., LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20283 Issued in NC

Practice address

1709 Centre St W
Wilson, NC 27893-2781

Phone

(919) 801-5028

NPI assigned

Nov 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Keane Quantaze Sauls Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Families Obtaining Community Unified Services

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1508549700
  NPD Authorized official
• Morse Clinic of Roanoke Rapids, PC

  • Methadone Clinic
  • Roanoke Rapids, NC
  • NPI 1124537394
  NPD

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1255737334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 CENTRE ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932781",
            "telephone_number": "919-737-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 CENTRE ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932781",
            "telephone_number": "919-801-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULS",
        "first_name": "KEANE",
        "middle_name": "QUANTAZE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "13875",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEANE",
            "last_name": "SAULS",
            "middle_name": "QUANTAZE",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "LCAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ivy Jackie Sanders
• Ulysses Santiago
• Daniel J Sanza, MSPAS, PA-C
• Robert Nelson Satterfield, MD
• Robert Alan Satterly, M.D.
• Rashida Raziya Sauls, MSW, LCSWA
• Christy Pierce Saunders, PHARMD
• Randall L Savell, M.D.
• Saving Grace Residential Homes LLC
• Connor Schmidt

• Addiction (Substance Use Disorder) Counselor in Wilson, NC
• Providers in Wilson, 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 16, 2023; 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.