Acadia Healthcare

Key facts

NPI

1396540308

Entity type

Organization (NPI type 2)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Legal business name

ACADIA HEALTHCARE

Practice address

1617 S Hawthorne Rd
Winston Salem, NC 27103-4127

Phone

(336) 842-6980

Fax

(336) 842-6984

NPI assigned

Feb 14, 2025

Organization subpart

Yes

Parent organization (as reported)

1023550944

Authorized official

Name

Harley Murphree, CADC

Title

Supv II Clinical Staff SVS CTC

Phone

(336) 842-6982

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Renee Jarrell-Smith, CADC Addiction (Substance Use Disorder) Counselor · Denton, NC · NPI 1023738663
  NPD ADDICTION (SUBSTANCE USE DISORDER)

National Provider Directory

Part of

Acadia Healthcare

Specialties & licenses

Addresses

Other names

• Winston-Salem Comprehensive Treatment Center Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2025.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1396540308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-842-6980",
            "fax_number": "336-842-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-842-6980",
            "fax_number": "336-842-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1023550944",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "MURPHREE",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_title_or_position": "SUPV II CLINICAL STAFF SVS CTC",
        "authorized_official_telephone_number": "336-842-6982",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston-Salem Comprehensive Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Winston Salem, NC · Addiction (Substance Use Disorder) Counselor in North Carolina