Active NPI
Stick & Stay Prevention, Inc
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1548906506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STICK & STAY PREVENTION, INC
- Practice address
- 1812 Liberty St
Durham, NC 27703-2271 - Phone
- (919) 384-5758
- NPI assigned
- May 11, 2022
- 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
- Sandra Denise Lassiter
- Title
- Director
- Phone
- (919) 384-5758
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1812 Liberty St
Durham, NC 27703-2271
Mailing address
1812 Liberty St
Durham, NC 27703-2271
Phone (919) 384-5758
National Provider Directory
National Provider Directory- Tax ID family
- Stick Stay Prevention Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1972998995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655856000000",
"number": "1548906506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 LIBERTY ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277032271",
"telephone_number": "919-384-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 LIBERTY ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277032271",
"telephone_number": "919-384-5758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STICK & STAY PREVENTION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-11",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A",
"authorized_official_last_name": "LASSITER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-384-5758"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.