Organization Active NPI

Supreme Standard Peer Support and Wellness Inc.

  • Peer Specialist
  • Fayetteville, NC
National Provider Identifier
1295652352
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
SUPREME STANDARD PEER SUPPORT AND WELLNESS INC.
Practice address
109 Hay St Ste 202
Fayetteville, NC 28301-6107
Phone
(317) 453-6323
Fax
(317) 799-9896
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Ms. Gianina WalkerNPI 1366373649
Title
Owner
Phone
(317) 453-6323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

109 Hay St Ste 202
Fayetteville, NC 28301-6107

Mailing address

109 Hay St Ste 202
Fayetteville, NC 28301-6107
Phone (317) 453-6323

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1295652352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HAY ST STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016107",
            "telephone_number": "317-453-6323",
            "fax_number": "317-799-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HAY ST STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016107",
            "telephone_number": "317-453-6323",
            "fax_number": "317-799-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME STANDARD PEER SUPPORT AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GIANINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-453-6323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.