Organization Active NPI

Ledbetter Recovery Services. LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gastonia, NC
National Provider Identifier
1295303444
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LEDBETTER RECOVERY SERVICES. LLC
Doing business as
Insights in Recovery
Practice address
310 W Third Ave
Gastonia, NC 28052-4004
Phone
(704) 868-8644
NPI assigned
Jun 15, 2021
Organization subpart
Yes
Parent organization
LEDBETTER RECOVERY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Melissa Russell Wagner, LCASNPI 1932664075
Title
Clinical Director
Phone
(980) 474-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

310 W Third Ave
Gastonia, NC 28052-4004

Mailing address

2015 Donegal CT
Gastonia, NC 28054-6702
Phone (980) 474-0117

Other names 1

  • Insights in Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ledbetter Recovery Services LLC2 organizations share this tax ID, including this one
Part of
Ledbetter Recovery Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1455 E Franklin Blvd
Gastonia, NC 28054
Phone (828) 485-1320

176 S Chester St
Gastonia, NC 28052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1295303444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 DONEGAL CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546702",
            "telephone_number": "980-474-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W THIRD AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524004",
            "telephone_number": "704-868-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDBETTER RECOVERY SERVICES. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEDBETTER RECOVERY SERVICES, LLC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "980-474-0117",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children 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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insights in Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.