Organization Active NPI

Triad Wellness & Support Services LLC

  • Peer Specialist
  • Greensboro, NC
National Provider Identifier
1366318677
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
TRIAD WELLNESS & SUPPORT SERVICES LLC
Practice address
2031 Martin Luther King Jr Dr Ste F
Greensboro, NC 27406-3342
Phone
(336) 609-9102
Fax
(336) 904-2354
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Tri-Shawn Danzelle Draughon
Title
Owner/Ceo
Phone
(336) 609-9102

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2031 Martin Luther King Jr Dr Ste F
Greensboro, NC 27406-3342

Mailing address

2031 Suite F Martin Luther King Jr. Drive
Greensboro, NC 27406
Phone (336) 609-9102

National Provider Directory

National Provider Directory

Locations

2031 Martin Luther King Jr Dr
Ste F
Greensboro, NC 27406
Phone (336) 609-9102

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1366318677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SUITE F MARTIN LUTHER KING JR. DRIVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27406",
            "telephone_number": "336-609-9102",
            "fax_number": "336-904-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MARTIN LUTHER KING JR DR STE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063342",
            "telephone_number": "336-609-9102",
            "fax_number": "336-904-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD WELLNESS & SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "DRAUGHON",
        "authorized_official_first_name": "TRI-SHAWN",
        "authorized_official_middle_name": "DANZELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-609-9102"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.