Organization Active NPI

Sustained Serenity Mental Health Services PLLC

  • Clinical Social Worker
  • Winterville, NC
National Provider Identifier
1346725231
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSTAINED SERENITY MENTAL HEALTH SERVICES PLLC
Practice address
333B S Pointe Dr
Winterville, NC 28590-9959
Phone
(252) 916-2090
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mr. Craig Madison Toombs, LCSW,LCAS,CCS
Title
Licensed Provider
Phone
(252) 916-2090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333B S Pointe Dr
Winterville, NC 28590-9959

Mailing address

PO Box 30831
Greenville, NC 27833-0831
Phone (252) 916-2090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1346725231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30831",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330831",
            "telephone_number": "252-916-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333B S POINTE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909959",
            "telephone_number": "252-916-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINED SERENITY MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "TOOMBS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "LICENSED PROVIDER",
        "authorized_official_telephone_number": "252-916-2090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,LCAS,CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.