Organization Active NPI

Drake Therapy Services, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1356779474
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C000724 Issued in NC
Legal business name
DRAKE THERAPY SERVICES, PLLC
Practice address
8520 Six Forks Rd
104
Raleigh, NC 27615-3095
Phone
(919) 818-1459
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Ms. Stacey Susan Drake, LCSWNPI 1114032356
Title
Owner
Phone
(919) 818-1459

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C000724 NC Primary

Addresses

Primary practice location

8520 Six Forks Rd
104
Raleigh, NC 27615-3095

Mailing address

7717 Elon Dr
Raleigh, NC 27613-1432
Phone (919) 818-1459

Other identifiers 1

IdentifierTypeStateIssuer
60003639MedicaidNC

National Provider Directory

National Provider Directory

Locations

8520 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 714-1634

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1356779474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 ELON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131432",
            "telephone_number": "919-818-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 SIX FORKS RD",
            "address_2": "104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153095",
            "telephone_number": "919-818-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-818-1459",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60003639",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.