Organization Active NPI

Breathe Resources

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, NC
National Provider Identifier
1558842583
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-22452 Issued in NC
Legal business name
BREATHE RESOURCES
Practice address
921 Skywatch LN
Monroe, NC 28112-7729
Phone
(704) 310-8942
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Ms. Leandra Salley, MSW
Title
Owner
Phone
(704) 310-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X LCAS-22452 NC Primary

Addresses

Primary practice location

921 Skywatch LN
Monroe, NC 28112-7729

Mailing address

921 Skywatch LN
Monroe, NC 28112-7729
Phone (704) 310-8942

Other identifiers 1

IdentifierTypeStateIssuer
1952756959MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1558842583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SKYWATCH LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127729",
            "telephone_number": "704-310-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SKYWATCH LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127729",
            "telephone_number": "704-310-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "LEANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-310-8942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952756959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.