Active NPI
Supreme Standard Peer Support and Wellness Inc.
- Peer Specialist
- Fayetteville, NC
National Provider Identifier
1295652352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gianina Walker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Peer Specialist
- Lawrenceville, GA
- NPI 1366373649
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
- Sunrise Specialty Clinic, Inc
- Sunshine Pediatrics
- Sunshine Pediatrics of NC PLLC
- Supplemental Healthcare
- Supreme Investments,LLC (Supreme Choice Healthcare)
- Surajit Chaudhuri MD PA
- Sure Modes of Everyday Transportation LLC
- Suren Paravyan, DMD, MD, MSD, PA (Sandhills Endodontics)
- Boby Thiana Surin
- Adrian Surratt
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.