Active NPI
Donnie Eason Jr., LCAS
- Addiction (Substance Use Disorder) Counselor
- Greenville, NC
National Provider Identifier
1417007105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2245 Stantonsburg Rd
Suite O
Greenville, NC 27834-2868 - Phone
- (252) 752-0130
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2245 Stantonsburg Rd
Suite O
Greenville, NC 27834-2868
Mailing address
2245 Stantonsburg Rd
Suite P
Greenville, NC 27834-2868
Phone (252) 752-0483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- dreamprovidercareservicesinc.donnieeason@158148.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1417007105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "SUITE P",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "SUITE O",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "DONNIE",
"name_suffix": "Jr.",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.