Active NPI
Stay 4 Life
- Addiction (Substance Use Disorder) Counselor
- Greenville, NC
National Provider Identifier
1518871631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- STAY 4 LIFE
- Practice address
- 3208 Morton LN
Greenville, NC 27834-4930 - Phone
- (252) 327-5821
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse Daniels
- Title
- Owner/Manager
- Phone
- (252) 327-5821
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
3208 Morton LN
Greenville, NC 27834-4930
Mailing address
3208 Morton LN
Greenville, NC 27834-4930
Phone (252) 327-5821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1518871631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 MORTON LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344930",
"telephone_number": "252-327-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 MORTON LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344930",
"telephone_number": "252-327-5821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY 4 LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "252-327-5821"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.