Stephens Outreach Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STEPHENS OUTREACH CENTER, INC

Practice address

405 Dunn Rd # a
Lumberton, NC 28358-7913

Phone

(910) 738-7865

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Melvin J Stephens

Title

Ceo

Phone

(910) 308-4847

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stephens Outreach Center, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Lumberton, NC
  • NPI 1952554388

  O20111205000000

  Same enrollment

Practitioners 3

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

• Imani Nia Johnson, MS, MSW, LCSWA

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1073938254
  Medicare reassignment NPD
• Alicia Shereese Moore, LCAS-A

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1356683148
  Medicare reassignment NPD
• Lashanda Marriaa Loyd, LCSWA, LCASA

  • Clinical Social Worker
  • Lumberton, NC
  • NPI 1952862112
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1407977390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401110",
            "telephone_number": "910-308-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 DUNN RD # A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587913",
            "telephone_number": "910-738-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105B Elizabethtown Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583107",
            "country_code": "US",
            "telephone_number": "910-738-7865",
            "fax_number": "910-738-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHENS OUTREACH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-308-4847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "251B00000X",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Renee Stallings, PLCSW
• Sherry Evone Starling, DO
• Elaine Stearney
• Savanna Rose Steffen
• Stephens Outreach Center, Inc
• Stephens Outreach Center, Inc
• Deanna Rasmussen Stephens, FNP
• Frederick Hodge Stephens, LCSW
• Gina Stephens, FNP-BC
• Helena Frances Stephens

• Community/Behavioral Health Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.