Launch Pad Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAUNCH PAD WELLNESS LLC

Practice address

3121 Wrightsville Ave
Wilmington, NC 28403-4111

Phone

(910) 769-6053

NPI assigned

Jun 22, 2015

Organization subpart

Yes

Parent organization

THE LAUNCH PAD, INC.As reported in NPPES

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

Authorized official

Name

Ms. Jessica Smith, MA, LCASNPI 1861842221

Title

Clinical Director

Phone

(910) 769-6053

Specialties & licenses 2

Addresses

Tax ID family

Launch Pad Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Launch Pad Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Carolina Beach, NC
  • NPI 1932557766
  NPD tax ID

Locations

Practitioners 1

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

• Jessica Plemmons Smith, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, NC
  • NPI 1861842221
  NPD Authorized official

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1518349000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111",
            "telephone_number": "910-769-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111",
            "telephone_number": "910-769-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH PAD WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LAUNCH PAD, INC.",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-769-6053",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LCAS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anne Lassiter, LCSWA
• Letha Latham
• Erick Rainer Latteier, FNP
• Joseph Henry Latterner, LCSW
• Walter P Laughlin, MD
• Lauren Duffy Pmhnp
• Cora Laurens, LCMHCA
• Wendy Laursen, M.A., LPC, LPCA
• Bryan Lavoie
• Mary Ellen Lavoie, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.